Anomalies of the intracranial vasculature are common, and we describe a rare case of left MCA fenestration with an associated ruptured aneurysm at the site of the fenestration. In the literature, cases of fenestration of the MCA are sporadically reported and are only incidental findings.
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The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/26539312