Fenestrate Anomaly of a Vertebral Artery with Repeated Attacks of Ischemic Stroke.
- Author:
Dae Young HONG
1
;
Mun Chul KIM
;
Sang Pyung LEE
;
Gi Hwan CHOI
;
Hyung Tae YEO
Author Information
1. Department of Neurosurgery, School of Medicine, Catholic University of Taegu, Taegu, Korea.
- Publication Type:Case Report
- Keywords:
Ischemic stroke;
Fenestrate vertebral artery;
Balloon embolization
- MeSH:
Angiography;
Balloon Occlusion;
Cerebral Infarction;
Collateral Circulation;
Female;
Follow-Up Studies;
Humans;
Incidental Findings;
Stroke*;
Thrombosis;
Vertebral Artery*
- From:Journal of Korean Neurosurgical Society
2002;31(1):71-73
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In angiographic examinations, abnormalities of vertebral arteries are incidental findings because they are, in most of cases, clinically asymptomatic. We report a case of young woman with a fenestrated anomaly of the left vertebral artery with ischemic strokes. The patient was suffered from repeated attacks of transient ishemic attack(TIA) and cerebral infarction. Vertebral angiography demonstrated a fenestrated anomaly of the left vertebral artery and a large intraluminal thrombus was detected at just proximal of the fenestration. Proximal balloon occlusion of the involved vertebral artery was done and the patient became free from ischemic attack. Follow-up angiography showed well visualization of the posterior circulation through right vertebral artery and the ballooned vertebral artery was well occluded. The left posterior inferior cerebellar artery(PICA) was filled well via collateral circulation from the opposite side.
