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Fenestration of the supraclinoid segment of the ICA and associated aneurysms: a case report with literature review. | LitMetric

AI Article Synopsis

  • The supraclinoid ICA fenestration (SIF) is a rare congenital brain anomaly, often linked to intracranial aneurysms.
  • A case study describes a 55-year-old patient with a right SIF and two aneurysms: one large and unruptured located on the fenestration, and a smaller one further down.
  • Treatment involved using a Pipeline flow-diverter stent, successfully restoring the carotid siphon anatomy, and accompanying literature was reviewed to discuss management of these conditions.

Article Abstract

The supraclinoid ICA fenestration (SIF) is considered an extremely rare congenital anomaly. However, most of the reported cases of SIF are associated with intracranial aneurysms either ruptured or unruptured. We report the case of a 55-year-old patient with a right SIF and an unruptured, large, wide-necked aneurysm located on the larger limb of the fenestration and a second small aneurysm distal to the SIF. The aneurysms were treated with a Pipeline flow-diverter stent, achieving the complete reconstruction of the anatomy of the carotid siphon. The literature concerning these peculiar anatomic conditions has been reviewed, allowing discussion about treatment of such associated lesions.

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Source
http://dx.doi.org/10.1007/s00701-018-3551-7DOI Listing

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