Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-07T19:24:02.315Z Has data issue: false hasContentIssue false

Fenestration of the Supraclinoid Internal Carotid Artery

Published online by Cambridge University Press:  18 September 2015

J. Max Findlay
Affiliation:
Department of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario
Mario Chui
Affiliation:
Department of Neuroradiology, St. Michael's Hospital, University of Toronto, Toronto, Ontario
Paul J. Muller*
Affiliation:
Department of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto, Ontario
*
Division of Neurosurgery, 38 Shuter Street, Toronto, Ontario, Canada M5B 1A6
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A twenty-eight year old woman presenting with subarachnoid hemorrhage was found at angiography to have a left anterior cerebral-anterior communicating artery aneurysm. Also identified was a fenestration of the right supraclinoid internal carotid artery with an associated accessory middle cerebral artery. This appears to be the second reported case of fenestration of the intracranial internal carotid artery. Fenestrations of cerebral vessels and their possible embryologic origins are briefly reviewed.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1987

References

1.Alpers, BJ, Beery, RG, Paddison, RM. Anatomical studies of the circle of Willis in normal brain. Arch Neurol Psychiatry 1981; 409418.Google Scholar
2.Riggs, HE, Ropp, C. Variations in form of the circle of Willis. Arch Neurol 1963; 8:2430.Google Scholar
3.Saeki, N, JrRhoton, AL. Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis. J Neurosurg 1977; 46: 563578.CrossRefGoogle ScholarPubMed
4.Perlmutter, D, JrRhoton, AL. Microsurgical anatomy of the anterior cerebral-anterior communicating artery complex. J Neurosurg 1976; 45: 259272.CrossRefGoogle Scholar
5.Miyazaki, S, Kamata, K, Yamaura, A. Multiple aneurysms of the vertebro-basilar system associated with fenestration of the vertebral artery. Surg Neurol 1981; 15: 192195.CrossRefGoogle Scholar
6.Teal, JS, Rumbaugh, CL, Bergeron, RT, Segall, HD. Angiographic demonstration of fenestrations of the intradural intracranial arteries. Radiology 1973; 106: 123126.CrossRefGoogle ScholarPubMed
7.Kowada, M, Takahashi, M, Gito, Y, Kishikawa, T. Fenestration of the vertebral artery. Neuroradiology 1973; 6: 110112.CrossRefGoogle ScholarPubMed
8.Lasjaunias, P, Braun, JP, Hasso, AN, Moret, J, Manelfe, C. True and false fenestration of the vertebral artery. J Neurorad 1980; 7: 157166.Google ScholarPubMed
9.Hoffman, WF, Wilson, CB. Fenestrated basilar artery with an associated saccular aneurysm. J Neurosurg 1979; 50: 262264.CrossRefGoogle ScholarPubMed
10.Takahashi, M, Tamakawa, Y, Kishikawa, T, Kowada, M. Fenestration of the basilar artery. Radiology 1973; 109: 7982.Google ScholarPubMed
11.Becker, D, Hamilton, R. Saccular aneurysm associated with fenestrated basilar artery: Case report. Neurosurgery 1979; 5:695697.CrossRefGoogle ScholarPubMed
12.Hemmati, M, Kim, K. A ruptured aneurysm at the basilar artery fenestration. Radiology 1979; 174: 130.Google Scholar
13.Matricali, B, Van Dulken, H. Aneurysm of fenestrated basilarartery. Surg Neurol 1981; 15: 189191.CrossRefGoogle Scholar
14.Andrews, BT, Brant-Zawadzki, M, Wilson, CB. Variant aneurysms ofthe fenestrated basilarartery. Neurosurgery 1986; 18:204207.CrossRefGoogle Scholar
15.Black, SPW, Ansbacher, LE. Saccular aneurysms associated with segmental duplication ofthe basilar artery. J Neurosurg 1984; 61: 10051008.CrossRefGoogle Scholar
16.Wollschlaeger, G, Wollschlaeger, P, Lucas, F, Lopez, V. Experience and result with postmortem cerebral angiography performed as routine procedure ofthe autopsy. A J R 1967; 101: 6887.Google Scholar
17.Padjet, DH. The development of cranial arteries in the human embryo. Contrib Embryol 1948; 32: 205267.Google Scholar
18.Ito, J, Washiyama, K, Kim, C, Ibuchi, Y. Fenestration ofthe anterior cerebral artery. Neuroradiology 1981; 21: 277280.CrossRefGoogle Scholar
19.Ito, J, Maeda, H, Inoue, K, Onishi, Y. Fenestration ofthe middle cerebral artery. Neuroradiology 1977; 13: 3739.CrossRefGoogle Scholar
20.Krompton, MR. The pathology of ruptured middle cerebral artery aneurysms. Lancet 1962; 2: 421425.CrossRefGoogle Scholar
21.Lazar, M, Bland, J, North, R, Bringewald, P. Middle cerebral artery fenestration. Neurosurgery 1980; 6: 297300.Google ScholarPubMed
22.Ueda, T, Goya, T, Wakisaka, S. Kinoshita, K. Fenestrations ofthe middle cerebral artery associated with aneurysms. A J N R 1984; 5: 26392640.Google Scholar
23.Yock, DH. Fenestration ofthe supraclinoid internal carotid artery with rupture of associated aneurysm. A J N R 1984; 5: 634636.Google Scholar
24.Ferguson, GG. Physical factors in the initiation, growth and rupture of human intracranial sacular aneurysms. J Neurosurg 1972; 37: 666667.CrossRefGoogle Scholar