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Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage

Vertebral artery fenestration is accidentally detected during angiography or autopsy. Spontaneous deep nuclear hemorrhage in association with vertebral artery fenestration is a very unusual finding in angiography. Such an unusual finding has not been reported in the English literature. Here, we repo...

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Autores principales: Tamrakar, Karuna, Bhattarai, Binod, Munakomi, Sunil, Chaudhary, Pramod
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744067/
https://www.ncbi.nlm.nih.gov/pubmed/26918218
http://dx.doi.org/10.7759/cureus.450
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author Tamrakar, Karuna
Bhattarai, Binod
Munakomi, Sunil
Chaudhary, Pramod
author_facet Tamrakar, Karuna
Bhattarai, Binod
Munakomi, Sunil
Chaudhary, Pramod
author_sort Tamrakar, Karuna
collection PubMed
description Vertebral artery fenestration is accidentally detected during angiography or autopsy. Spontaneous deep nuclear hemorrhage in association with vertebral artery fenestration is a very unusual finding in angiography. Such an unusual finding has not been reported in the English literature. Here, we report two cases of spontaneous deep nuclear hemorrhage that presented with features of raised intracranial pressure. Computed tomography revealed a deep nuclear acute bleed in both cases. Digital subtraction angiographic findings were normal other than the presence of a long segment vertebral artery fenestration. Both extracranial and intracranial variations were detected. Although the existence of vascular fenestration in the vertebrobasilar system produces less clinical importance, it may influence the management of cervical and intracranial pathologies to avoid iatrogenic injury. 
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spelling pubmed-47440672016-02-25 Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage Tamrakar, Karuna Bhattarai, Binod Munakomi, Sunil Chaudhary, Pramod Cureus Neurosurgery Vertebral artery fenestration is accidentally detected during angiography or autopsy. Spontaneous deep nuclear hemorrhage in association with vertebral artery fenestration is a very unusual finding in angiography. Such an unusual finding has not been reported in the English literature. Here, we report two cases of spontaneous deep nuclear hemorrhage that presented with features of raised intracranial pressure. Computed tomography revealed a deep nuclear acute bleed in both cases. Digital subtraction angiographic findings were normal other than the presence of a long segment vertebral artery fenestration. Both extracranial and intracranial variations were detected. Although the existence of vascular fenestration in the vertebrobasilar system produces less clinical importance, it may influence the management of cervical and intracranial pathologies to avoid iatrogenic injury.  Cureus 2016-01-06 /pmc/articles/PMC4744067/ /pubmed/26918218 http://dx.doi.org/10.7759/cureus.450 Text en Copyright © 2016, Tamrakar et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Tamrakar, Karuna
Bhattarai, Binod
Munakomi, Sunil
Chaudhary, Pramod
Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
title Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
title_full Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
title_fullStr Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
title_full_unstemmed Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
title_short Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
title_sort unusual finding of vertebral artery fenestration in spontaneous deep nuclear hemorrhage
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744067/
https://www.ncbi.nlm.nih.gov/pubmed/26918218
http://dx.doi.org/10.7759/cureus.450
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