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Extreme Duplication-type, Nonseparated Fenestration of the Basilar Artery in a Patient with Pontine Infarction: Confirmation with Virtual Arterial Endoscopy

Authors
Journal
Journal of Clinical Neurology
1738-6586
Publisher
Korean Neurological Association (KAMJE)
Publication Date
Volume
2
Issue
1
Identifiers
DOI: 10.3988/jcn.2006.2.1.74
Keywords
  • Case Report
Disciplines
  • Communication
  • Medicine

Abstract

We present a case of a 55-year-old woman with pontine infarction and fenestration of the basilar artery that was demonstrated using virtual endoscopy. The patient had motor weakness of the right side with sudden onset. Diffusion- and T2-weighted MR images revealed high signal intensities in the left pontine regions, and an MR angiographic examination showed the double-lumen sign of the basilar artery. An extensive duplication-type, nonseparated fenestration of the basilar artery was diagnosed by virtual endoscopy and craniocaudal communications with discrete openings were observed. We report a case of a patient with basilar artery fenestration and associated brainstem infarction.

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