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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2016
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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. |
format | Online Article Text |
id | pubmed-4744067 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
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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