Keywords
arterial fenestration; vertebral artery fenestration; arterial dissection; vertebral artery dissection
How to Cite
Wieczorek, M., Sklinda, K., Mruk, B., & Walecki, J. (2023). Differential diagnosis of vertebral artery fenestration and dissection: case report. Wiedza Medyczna, 4(2), 19-22. https://doi.org/10.36553/wm.144
Abstract
Arterial fenestration is a rare anatomical variant characterised by the presence of a congenital segmental duplication of an artery. In certain imaging modalities it may resemble arterial dissection, which, unlike arterial fenestration, is potentially lethal and requires treatment. The use of diagnostic methods that ensure a comprehensive visualisation of the vascular system, such as computed tomography angiography (CTA), may complete inconclusive results of exams performed with other modalities and enable the differential diagnosis of arterial fenestration and dissection.
References
(1) Cooke DL, Stout CE, Kim WT, Kansagra AP, Yu JP, Gu A, Jewell NP, Hetts SW, Higashida RT, Dowd CF, Halbach VV. Cerebral arterial fenestrations. Interv Neuroradiol. 2014 May-Jun;20(3):261-74.
(2) van Rooij SB, Bechan RS, Peluso JP, Sluzewski M, van Rooij WJ. Fenestrations of intracranial arteries. AJNR Am J Neuroradiol. 2015 Jun;36(6):1167-70.
(3) Patel MA, Caplan JM, Yang W, Colby GP, Coon AL, Tamargo RJ, Huang J. Arterial fenestrations and their association with cerebral aneurysms. J Clin Neurosci. 2014 Dec;21(12):2184-8.
(4) D'Sa A, Alvin MD, Brody R, Javed S, Faro S, Nadgir RN. Imaging features of vertebral artery fenestration. Neuroradiology. 2020 May;62(5):587-592.
(5) Mărginean L, Filep RC, Constantin C, Bălaşa AF, Mühlfay G. Fenestration of the cervical internal carotid artery misdiagnosed as dissection. Rom J Morphol Embryol. 2020;61(1):257-260.
(6) Park KW, Park JS, Hwang SC, Im SB, Shin WH, Kim BT. Vertebral artery dissection: natural history, clinical features and therapeutic considerations. J Korean Neurosurg Soc. 2008 Sep;44(3):109-15.
(7) Ahn JY, Han IB, Kim TG, Yoon PH, Lee YJ, Lee BH, Seo SH, Kim DI, Hong CK, Joo JY. Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling. AJNR Am J Neuroradiol. 2006 Aug;27(7):1514-20.
(8) Nouh A, Remke J, Ruland S. Ischemic posterior circulation stroke: a review of anatomy, clinical presentations, diagnosis, and current management. Front Neurol. 2014 Apr 7;5:30.
(9) Soper JR, Parker GD, Hallinan JM. Vertebral artery dissection diagnosed with CT. AJNR Am J Neuroradiol. 1995 Apr;16(4 Suppl):952-4.
(2) van Rooij SB, Bechan RS, Peluso JP, Sluzewski M, van Rooij WJ. Fenestrations of intracranial arteries. AJNR Am J Neuroradiol. 2015 Jun;36(6):1167-70.
(3) Patel MA, Caplan JM, Yang W, Colby GP, Coon AL, Tamargo RJ, Huang J. Arterial fenestrations and their association with cerebral aneurysms. J Clin Neurosci. 2014 Dec;21(12):2184-8.
(4) D'Sa A, Alvin MD, Brody R, Javed S, Faro S, Nadgir RN. Imaging features of vertebral artery fenestration. Neuroradiology. 2020 May;62(5):587-592.
(5) Mărginean L, Filep RC, Constantin C, Bălaşa AF, Mühlfay G. Fenestration of the cervical internal carotid artery misdiagnosed as dissection. Rom J Morphol Embryol. 2020;61(1):257-260.
(6) Park KW, Park JS, Hwang SC, Im SB, Shin WH, Kim BT. Vertebral artery dissection: natural history, clinical features and therapeutic considerations. J Korean Neurosurg Soc. 2008 Sep;44(3):109-15.
(7) Ahn JY, Han IB, Kim TG, Yoon PH, Lee YJ, Lee BH, Seo SH, Kim DI, Hong CK, Joo JY. Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling. AJNR Am J Neuroradiol. 2006 Aug;27(7):1514-20.
(8) Nouh A, Remke J, Ruland S. Ischemic posterior circulation stroke: a review of anatomy, clinical presentations, diagnosis, and current management. Front Neurol. 2014 Apr 7;5:30.
(9) Soper JR, Parker GD, Hallinan JM. Vertebral artery dissection diagnosed with CT. AJNR Am J Neuroradiol. 1995 Apr;16(4 Suppl):952-4.
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