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2014 | 73 | 1 |

Tytuł artykułu

Fenestration of the vertebral artery: case presentation

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Fenestrations of vertebral arteries are considered to be rare abnormalities observed in angiographic and autopsy studies. They result from vascular abnormalities that occur during the embryological development of vertebral artery. Fenestrations of the vertebral artery are vascular structures having 2 different lumens and endothelium layers, sharing either the same or separate adventitia layers. As a result of the carotid Doppler ultrasonography performed on a 65-year-old woman applying to the Neurology Clinic of Cumhuriyet University Faculty of Medicine, Research and Practice Hospital with the complaints of vertigo and numbness in the head, a plaque leading to 60% stenosis in the right internal carotid artery, close to the place of initiation was seen. The patient, whose vertebral artery lumen structures and calibrations have found to be normal in the Doppler ultrasonography of vertebral artery, was scheduled for double-sided selective carotid and vertebral artery angiography. With the performed digital subtraction angiography imaging method, an atheroma plaque, extending to internal carotid artery proximal starting from sinus caroticus through the right internal carotid artery and leading to 50% stenosis, having the appearance of an ulcer, was observed. In the vertebral artery angiography of the case, while the right vertebral artery was found to be normal, fenestration in the upper cervical segment was observed in the left vertebral artery. This situation has been presented in this paper with radiological and embryological evaluation. (Folia Morphol 2014; 73, 1: 84–86)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

73

Numer

1

Opis fizyczny

p.84-86,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey
autor
  • Department of Anatomy, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey

Bibliografia

  • 1. Ionete C, Omojola MF (2006) MR angiographic demonstration of bilateral duplication of the extracranial vertebral artery: unusual course and review of the literature. Am J Neuroradiol, 27: 1034–1006.
  • 2. Iwamuro Y, Miyake H, Akiyama Y, Ito T, Kumai J, Matsumoto Y, Sugino T (1995) Infantile brainstem infarction due to vertebral artery fenestration: a case report. No Shinkei Geka, 23: 1045–1049.
  • 3. Kowada M, Kikuchi K (1979) Symmetrical extracranial fenestration of the vertebral artery: two cases revealed by angiography. Radiology, 131: 408.
  • 4. Kowada M, Yamaguchi K, Takahashi H (1972) Fenestration of the vertebral artery with a review of 23 cases in Japan. Radiology, 103: 343–346.
  • 5. Lasjaunias P (1983) Craniofacial and upper cervical arteries: collateral circulations and angiographic protocols. Williams and Wilkins, Baltimore, pp. 15–27.
  • 6. Padget DH (1948) The development of cranial arteries in the human embryo. Contrib Embryol, 32: 207–261.
  • 7. Rieger P, Huber G (1983) Fenestration and duplicate origin of the left vertebral artery in angiography. Report of three cases. Neuroradiology, 25: 45–50.
  • 8. Sanders WP, Sorek PA, Mehta BA (1993) Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. Am J Neuroradiol, 14: 675–680.
  • 9. Sim E, Vaccaro AR, Berzlanovich A, Thaler H, Ullrich CG (2011) Fenestration of the extracranial vertebral artery: review of the literature. Spine, 26: 139–142.
  • 10. Tokuda K, Sugimoto S, Abe S, Takei H, Miyaskara K, Abe H, Tsuru M (1981) Angiographic analysis of anomalous vertebral arteries. Neuroradiology, 22: 47.
  • 11. Tran-Dinh HD, Soo YS, Jayasinghe LS (1991) Duplication of the vertebro-basilar system. Aust Radiol, 35: 220–224.
  • 12. Tseng YC, Hsu HL, Lee TH, Wang LJ, Wong YC, Chen CJ (2004) Fenestration of the vertebral artery at the lower cervical segment: imaging findings and literature review. Radiology, 49: 37–40.
  • 13. Uchino A, Sawada A, Takase Y, Kudo S (2002) Extreme fenestration of the right vertebral artery: magnetic resonance angiographic demonstration. Eur Radiol, 12: S32–S34.
  • 14. Van Rooij SBT, van Rooij WJ, Sluzewski M, Sprengers MES (2009) Fenestrations of ıntracranial arteries detected with 3D rotational angiography. Am J Neuroradiol, 30: 1347–1320.

Typ dokumentu

Bibliografia

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