Basilar artery fenestration

• Autorzy: Dodevski A. , Lazareska M. , Tosovska-Lazarova D. , Zhivadinovik J. , Stojkoski A.
• Języki publikacji: EN

Abstrakty

EN

The posterior circulation of the brain constitutes the vertebrobasilar system and its branches, which are responsible for about 30% of the brain’s blood supply. The aim of this study was to describe the anomalies of the basilar artery, especially fenestrations. For that purpose, we examined 50 patients with computed tomography (CT) angiography during an 8-month period. In the CT reports of 2 (4%) patients of the 50 analysed, fenestration was found at the proximal basilar trunk. The two fenestrations in our series were not associated with aneurysms. No collateral branches originated from the two limbs of the fenestration. In conclusion, basilar artery fenestrations are a rare finding. The data derived from this study are useful teaching material for anatomists, and for the radiologists and neurosurgeons they are important for diagnostic and intervention procedures such as CT, magnetic resonance imaging, angiography, and surgical and endovascular procedures. (Folia Morphol 2011; 70, 2: 80–83)

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2011
• Tom: 70
• Numer: 2
• Opis fizyczny: p.80-83,fig.,ref.

Twórcy

autor

Dodevski A.

• Institute of Anatomy, Medical Faculty, Ss. Cyril and Methodius University, 50 Divizija, b.b. 1000 Skopje, R. Macedonia

autor

Lazareska M.

• University Institute of Radiology, Ss. Cyril and Methodius University, Skopje, R. Macedonia

autor

Tosovska-Lazarova D.

• Institute of Anatomy, Medical Faculty, Ss. Cyril and Methodius University, Skopje, R. Macedonia

autor

Zhivadinovik J.

• Institute of Anatomy, Medical Faculty, Ss. Cyril and Methodius University, Skopje, R. Macedonia

autor

Stojkoski A.

• University Institute of Radiology, Ss. Cyril and Methodius University, Skopje, R. Macedonia

Bibliografia

• 1. Ahn JH, Kim MS, Lee SJ, Park H, Lee CH (2006) Fenestration and duplication of the vertebrobasilar artery detected by conventional angiography and magnetic resonance angiography. J Korean Neurosurg Soc, 39: 355–359.
• 2. Bentura JE, Figueiredo EG, Monaco BM, Teixeira MJ (2010) Vertebrobasilar artery junction aneurysm associated with fenestration. Arq Neeuropsiquiatr, 68: 312–314.
• 3. Campos J, Fox AJ, Vinuela F, Lylyk P, Ferguson GG, Drake CG, Peerless SJ (1987) Saccular aneurysms in basilar artery fenestration. Am J Neuroradiol, 8: 233–236.
• 4. Crossman AR (2005) Vascular supply of the brain. In: Gray’s H. anatomy. The anatomical basis of clinical practice. 39 Ed. Elsevier, New York, pp. 295–305.
• 5. Graves VB, Strother CM, Weir B, Duff TA (1996) Vertebrobasilar junction aneurysms associated with fenestration: treatment with Gugliemi detachable coils. Am J Neuroradiolol, 17: 35–40.
• 6. Hong JM, Chung CS, Bang OY, Yong SW, Joo IS, Huk K (2009) Vertebral artery dominance contributes to basilar artery curvature and peri-vertebral junctional infarcts. J Neurol Neurosurg Psychiatry, 80: 1087–1092.
• 7. Islak C, Kocer N, Kantarci F, Saatci I, Uzma O, Canbaz B (2002) Endovascular management of basilar artery aneurysms associated with fenestrations. Am J Neuroradiol, 23: 958–964.
• 8. Marinkovic S, Milisavljevic M (2001) Arteria basilaris. In: Marinkovic S, Milisavljevic M, Antunovic V eds. Arterije mozga i kicmene mozdine: Anatomske i klinicke karakteristike. Bit inzenjering, Beograd, pp. 44–54.
• 9. Peluso JP, Rooij WJ, Sluzewski M, Beute GN (2007) Aneurysms of the vertebrobasilar junction: incidence, clinical presentation, and outcome of endovascular treatment. Am J Neuroradiol, 28: 1747–1751.
• 10. Sanders WP, Sorek PA, Mehta BA (1993) Fenestration of intracranial arteris with attention to associated aneurysms and other anomalies. Am J Neuroradiol, 14: 675–680.
• 11. Scherer A, Siebler M, Aulich A (2002) Virtual arterial endoscopy as a diagnostic aid in a patient with basilar artery fenestration and thromboembolic pontine infarct. Am J Neuroradiol, 23: 1237–1239.
• 12. Tasker AD, Byrne JV (1997) Basilar artery fenestration in association with aneurysms of the posterior cerebral circulation. Neuroradiology, 39: 185–189.
• 13. Woo SR, Seo MW, Kim YH, Kwak HS, Han YM, Chung GH, Jeong SK (2006) Extreme duplication-type, nonseparated fenestration of the basilar artery in a patient with pontine infarction: confirmation with virtual arterial endoscopy. J Clin Neurol, 2: 74–76.
• 14. Yasargil MG (1987) Intracranial arteries. In: Yasargil MG ed. Microneurosurgery. Vol. 1. Thieme Medical Publishers Inc., New York, pp. 54–164.

Uwagi

rekord w opracowaniu