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Saccular Aneurysm Associated with Posterior Cerebral Artery Fenestration Manifesting as a Subarachnoid Hemorrhage in a Child

Lotfi Hacein-Bey, Cheryl A. Muszynski and Panayiotis N. Varelas
American Journal of Neuroradiology September 2002, 23 (8) 1291-1294;
Lotfi Hacein-Bey
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Cheryl A. Muszynski
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Panayiotis N. Varelas
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    Fig 1.

    Cerebral angiograms obtained with a left vertebral artery injection. A saccular aneurysm (arrow) is present at the proximal end of a duplication of the right posterior cerebral artery that bridges the P1-P2 segment and the right P2-P3 segment. The duplicated segment of the right posterior cerebral artery has a stepwise configuration (arrowhead in B).

    A, Anteroposterior view.

    B, Lateral view.

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    Fig 2.

    Superselective angiograms of a duplicated right posterior cerebral artery. A laterally and inferiorly pointing saccular aneurysm (arrow) has a broad connection (arrowhead in B) to the parent artery. The proximal portion of the duplicated segment in the quadrigeminal cistern has a stepwise configuration.

    A, Anteroposterior view

    B, Lateral view.

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    Fig 3.

    Cerebral angiogram obtained with a left vertebral artery injection. The aneurysm is totally obliterated (arrow). The right posterior cerebral artery duplication is patent.

    A, Anteroposterior view.

    B, Lateral view.

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    Fig 4.

    Anteroposterior cerebral angiogram obtained with a left vertebral artery injection during aneurysm treatment. The aneurysm is obliterated (arrow). The duplicated segment of the right posterior communicating artery is not seen because the microcatheter is across the fenestration (arrowhead).

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American Journal of Neuroradiology: 23 (8)
American Journal of Neuroradiology
Vol. 23, Issue 8
1 Sep 2002
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Cite this article
Lotfi Hacein-Bey, Cheryl A. Muszynski, Panayiotis N. Varelas
Saccular Aneurysm Associated with Posterior Cerebral Artery Fenestration Manifesting as a Subarachnoid Hemorrhage in a Child
American Journal of Neuroradiology Sep 2002, 23 (8) 1291-1294;

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Saccular Aneurysm Associated with Posterior Cerebral Artery Fenestration Manifesting as a Subarachnoid Hemorrhage in a Child
Lotfi Hacein-Bey, Cheryl A. Muszynski, Panayiotis N. Varelas
American Journal of Neuroradiology Sep 2002, 23 (8) 1291-1294;
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