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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Main Authors:	Tamrakar, Karuna, Bhattarai, Binod, Munakomi, Sunil, Chaudhary, Pramod
Format:	Online
Language:	English
Published:	Cureus 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744067/

id	pubmed-4744067
recordtype	oai_dc
spelling	pubmed-47440672016-02-25 Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage Tamrakar, Karuna Bhattarai, Binod Munakomi, Sunil Chaudhary, Pramod 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.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Tamrakar, Karuna Bhattarai, Binod Munakomi, Sunil Chaudhary, Pramod
spellingShingle	Tamrakar, Karuna Bhattarai, Binod Munakomi, Sunil Chaudhary, Pramod Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage
author_facet	Tamrakar, Karuna Bhattarai, Binod Munakomi, Sunil Chaudhary, Pramod
author_sort	Tamrakar, Karuna
title	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_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_sort	unusual finding of vertebral artery fenestration in spontaneous deep nuclear hemorrhage
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.
publisher	Cureus
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4744067/
_version_	1613534863450701824

Unusual Finding of Vertebral Artery Fenestration in Spontaneous Deep Nuclear Hemorrhage

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