Department of Neurosurgery, University of Multiprofile Hospital for Active Treatment and Emergency Medicine, “N. I. Pirogov”, Sofia, Bulgaria
Case Report
A Rare Case of Flow-Diversion of a Fenestration of the Internal Carotid Artery with an Associated Aneurysm and a Resected Ipsilateral Cavernous Malformation
Author(s): Mihail Petrov*, Teodora Sakelarova, Nikolay Velinov, Ivan Martinov and Nikolay Gabrovsky
Introduction: Fenestration of the Internal Carotid Artery (ICA) is an extremely rare congenital anatomical variation.
Even more uncommon is the concomitant presence of another vascular pathology-an ipsilateral cerebral aneurysm,
ipsilateral arterio-venous malformation.
Research question: We present a clinical case of a patient with a fenestration of the right ICA with associated
aneurysm, treated with a Pipeline flow-diverter stent, and a resected ipsilateral cavernous malformation. To our
knowledge, this is the first reported case with this constellation.
Materials and Methods: A 44-year-old male patient presented with a generalized epileptic seizure. The MRI scan
revealed a right frontal Cavernous Malformation (CM). The conducted Digital Subtraction Angiography (DSA)
showed a fenestration of the rig.. View more»