Aneurysmal subarachnoid hemorrhage with concomitant posterior communicating artery fenestration. Int J Neurosci 2015 Feb;125(2):154-8
Date
04/26/2014Pubmed ID
24761761DOI
10.3109/00207454.2014.918119Scopus ID
2-s2.0-84919629762 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
Fenestrations of the posterior communicating artery (PCoA) are extremely rare. Associated aneurysms have only been documented three times in the literature, and none associated with a subarachnoid hemorrhage. We describe a 52-year-old female who presented with a subarachnoid hemorrhage secondary to a ruptured saccular aneurysm at the proximal limb of a fenestrated right PCoA. The patient was also found to have bilateral middle cerebral artery (MCA) aneurysms. Surgical management included surmising the etiology of the subarachnoid hemorrhage with subsequent clipping of both the right PCoA and MCA aneurysm. The potential embryological mechanisms leading to a PCoA fenestration are discussed.
Author List
Weiner GM, Grandhi R, Zwagerman NT, Agarwal N, Friedlander RMAuthor
Nathan Zwagerman MD Associate Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Aneurysm, RupturedCarotid Arteries
Female
Humans
Intracranial Aneurysm
Magnetic Resonance Angiography
Male
Middle Aged
Subarachnoid Hemorrhage
Tomography, X-Ray Computed
Young Adult
