Journals / Türk Beyin Damar Hastalıkları Dergisi / 2020 / Cilt: 26 - Sayı: 2

ASSOCIATION BETWEEN BASILAR ARTERY FENESTRATION AND ISCHEMIC STROKE: A CASE REPORT

BAZİLER ARTER FENESTRASYONUNA BAĞLI GELİŞTİĞİ DÜŞÜNÜLEN İSKEMİK İNME VAKASI

Pages
186–189
Publication Date
2022-11-06
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The patient’s symptoms were stable at his follow-up and was discharged with prophylactic anti platelet therapy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Intracranial artery fenestrations are congenital malformations that diagnosed rarely.
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Key Findings & Data:Occasionally they are diagnosed incidentally.
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Conclusion & Impact:The patient’s symptoms were stable at his follow-up and was discharged with prophylactic anti platelet therapy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Intracranial artery fenestrations are congenital malformations that diagnosed rarely. Occasionally they are diagnosed incidentally. It is thought that they could be associated with different vascular pathologies such as aneurysms and arteriovenous malformations. The association between aneurysm and fenestration is well described in literature. However, there are few case reports that mention the presence of an ischemic stroke due to basilar artery fenestration. Here, we purposed to discuss a patient who presented with vertigo and diagnosed with stroke caused by anterior inferior cerebellar artery infarction. The patient benefited after thrombolytic therapy. We did not detect any traditional vascular risk factors or any other reason which might cause stroke. Magnetic resonance angiography revealed a fenestration in the proximal portion of the basilar artery. The patient’s symptoms were stable at his follow-up and was discharged with prophylactic anti platelet therapy.

Özet

İntrakranyal arter fenestrasyonları nadir görülen konjenital anomalilerdir.Sıklıkla insidental olarak saptanırlar.Ancak farklı damarsal patolojilerin gelişimi ile ilişkili olabileceği düşünülmüştür.Özellikle anevrizmalarla olan ilişkisini gösteren çalışmalar mevcuttur.İskemik inme ile ilişkili olabileceğini düşündüren vakalar literatürde mevcuttur.Burada baş dönmesi şikayeti ile gelen ve anterior inferior serebellar arter alanında enfarktüs saptanan bir hastayı tartışmayı amaçladık.Hasta trombolitik tedaviden fayda gördü.Hastanın herhangi bir vasküler risk faktörü bulunmamaktaydı.Yapılan tetkiklerinde inme sebebi olabilecek bir durum saptanmadı.Manyetik rezonans anjiografide baziler arterin proksimal bölümünde fenestrasyon saptandı.Servis takibi stabil seyreden hasta antiagregan tedavi verilerek taburcu edildi. Anahtar Sözcükler: Baziler fenestrasyon, iskemik inme, inme etyolojisi.

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Cite This Article

KARABACAK, A., BİLGİN, A. B., KILIÇ, A. K., BARUT, B. Ö. (2022). ASSOCIATION BETWEEN BASILAR ARTERY FENESTRATION AND ISCHEMIC STROKE: A CASE REPORT. Türk Beyin Damar Hastalıkları Dergisi, Cilt: 26 - Sayı: 2, 186–189. https://ajindex.com/articles/620319

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References (10)

  1. Bharatha A, Aviv RJ, White J, et al. Intracranial arterial fenestrations: frequency on CT angiography and association with other vascular lesions Surg Radiol Anat 2008; 30(5): 397–401. 2. van Rooij SBT, Bechan RS, Peluso JP, et al. Fenestrations of intracranial arteries. AJNR Am J Neuroradiol 2015; 36(6): 1167-1170
  2. Sogawa K, Kikuchi Y, Toshihiro O, et al. Fenestrations of the basilar artery demonstrated on Magnetic Resonance Angiograms: an Analysis of 212 Cases. Interventional Neuroradiology 2019; 19(4): 461-465
  3. Tasker AD, Byrne JV. Basilar artery fenestration in association with aneurysms of the posterior cerebral circulation. Neuroradiology 1997; 39(3): 185-189. 5
  4. Samuel P. W. Black, M.D., AND Linda E. Ansbacher, M.D. Saccular aneurysm associated with segmental duplication of the basilar artery J Neurosurg 61:1005-1008,1984 6. Uchino A, Kato M, Abe S, et al. Association of cerebral arteriovenous malformation with cerebral arterial fenestration. European Radiology 11(3):493-496
  5. Sanders WP, Sorek PA, Mehta BA. Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. American Journal of Neuroradiology 1993; 14(3): 675-680
  6. Dimmick SJ, Faulder KC. Normal variants of the cerebral circulation at multidetector CT angi-ography. Radiographics 2009; 29(4): 1027-1043
  7. Dodevski A, Lazareska M, Tosovska-Lazarova D, et al. Basilar artery fenestration. Folia Morphol 2011; 70(2): 80- 83
  8. Berry AD, Kepes JJ, Wetzel MD. Segmental duplication of the basilar artery with thrombosis. Stroke 1988; 19(2): 256-260
  9. Tanaka M, Kikuchi Y, Ouchi T. Neuroradiological analysis of 23 cases of basilar artery fenestration based on 2280 cases of MR angiographies. Interventional Neuroradiology 2006; 12(Suppl 1): 39-44
  10. Scherer A, Siebler M, Aulich A. Virtual arterial endoscopy as a diagnostic aid in a patient with basilar artery fenestration and thromboembolic pontine infarct. American Journal of Neuroradiology 2002; 23(7): 1237-1239.