Abstract
Background:
Fenestration of the ICA is extremely rare, and the most common associated vascular abnormality is cerebral aneurysm. The relationship between fenestration and ischemic stroke is unknown.
Case description:
We present a case of a young adult with SAH resulting from a ruptured aneurysm, associated with the bilateral fenestrated supraclinoid ICAs. This case is unusual because of a history of 2 ischemic strokes and the concomitant finding of other vascular abnormalities.
Conclusion:
Besides associated with aneurysm, ischemic stroke also indicates that fenestration may be a risk factor for thrombus or embolus formation.
MeSH terms
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Adult
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Brain / blood supply
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Brain / pathology
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Brain / physiopathology
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Brain Ischemia / diagnostic imaging
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Brain Ischemia / etiology*
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Brain Ischemia / pathology
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Carotid Artery Diseases / complications*
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Carotid Artery Diseases / diagnostic imaging
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Carotid Artery Diseases / pathology
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Cerebral Angiography
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Humans
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Intracranial Aneurysm / complications*
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Intracranial Aneurysm / diagnostic imaging
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Intracranial Aneurysm / pathology
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Intracranial Thrombosis / etiology
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Intracranial Thrombosis / physiopathology
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Male
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Neurosurgical Procedures
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Risk Factors
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Stroke / diagnostic imaging
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Stroke / etiology*
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Stroke / pathology
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Subarachnoid Hemorrhage / diagnostic imaging
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Subarachnoid Hemorrhage / etiology*
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Subarachnoid Hemorrhage / pathology
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Treatment Outcome
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Vascular Surgical Procedures