Fenestration of the superior cerebellar artery diagnosed by magnetic resonance angiography.

Radiol Case Rep

Department of Diagnostic Radiology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298 Japan.

Published: December 2023

AI Article Synopsis

  • The case study describes the incidental finding of a fenestrated superior cerebellar artery (SCA) in a 65-year-old woman during a magnetic resonance angiography for unruptured cerebral aneurysms.
  • Along with the SCA fenestration, the imaging also revealed two unruptured aneurysms and other vascular variations, such as a left common carotid artery originating from the brachiocephalic trunk.
  • Due to the small size of the aneurysms, yearly observation was chosen as the treatment approach, highlighting that SCA fenestration is a rare anatomical variation, with this being only the second reported case identified via MR angiography in English literature.

Article Abstract

We herein report a case of fenestration of the superior cerebellar artery (SCA), which was incidentally diagnosed by magnetic resonance (MR) angiography. A 65-year-old woman was referred to our hospital for unruptured cerebral aneurysms. MR angiography revealed 2 unruptured aneurysms. It also showed fenestration of the left SCA near its origin from the basilar artery, as well as several other vascular variations: a left common carotid artery arising from the brachiocephalic trunk, and a right vertebral artery terminating to the right posterior inferior cerebellar artery. Yearly observation was chosen as a treatment strategy due to the small size of the cerebral aneurysms. According to previous reports, SCA fenestration is an extremely rare variation. This is the second case of SCA fenestration diagnosed by MR angiography in the relevant English-language literature.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10624766PMC
http://dx.doi.org/10.1016/j.radcr.2023.09.023DOI Listing

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