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Published in: Acta Neurochirurgica 6/2018

01-06-2018 | Case Report - Vascular Neurosurgery - Aneurysm

Fenestration of the supraclinoid segment of the ICA and associated aneurysms: a case report with literature review

Authors: Alessandro Sgreccia, Oguzhan Coskun, Federico Di Maria, Georges Rodesch, Arturo Consoli

Published in: Acta Neurochirurgica | Issue 6/2018

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Abstract

The supraclinoid ICA fenestration (SIF) is considered an extremely rare congenital anomaly. However, most of the reported cases of SIF are associated with intracranial aneurysms either ruptured or unruptured. We report the case of a 55-year-old patient with a right SIF and an unruptured, large, wide-necked aneurysm located on the larger limb of the fenestration and a second small aneurysm distal to the SIF. The aneurysms were treated with a Pipeline flow-diverter stent, achieving the complete reconstruction of the anatomy of the carotid siphon. The literature concerning these peculiar anatomic conditions has been reviewed, allowing discussion about treatment of such associated lesions.
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Metadata
Title
Fenestration of the supraclinoid segment of the ICA and associated aneurysms: a case report with literature review
Authors
Alessandro Sgreccia
Oguzhan Coskun
Federico Di Maria
Georges Rodesch
Arturo Consoli
Publication date
01-06-2018
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-018-3551-7

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