Basilar artery fenestration and ischaemic stroke: cause, sieve, or both?
| Autor: | Zhang K; Hackensack Meridian School of Medicine, Nutley, New Jersey, USA zhangkevin493@gmail.com., Bell D; NYC Health and Hospitals Kings County, New York, New York, USA.; SUNY Downstate Medical Center College of Medicine, New York, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2024 Sep 25; Vol. 17 (9). Date of Electronic Publication: 2024 Sep 25. |
| DOI: | 10.1136/bcr-2024-260604 |
| Abstrakt: | This is a case of a young male patient with no known prior risk factors who presented for acute-onset right-sided neurological deficits suspicious for stroke, and magnetic resonance angiography (MRA) identified the development of an occlusion at the level of a basilar artery (BA) fenestration in the setting of right vertebral artery occlusion. The patient was treated with dual-antiplatelet therapy in the hospital and was able to return to work shortly after discharge. The case provides insights into several possibilities for the clinical significance of BA fenestration and its potential causal or contributory relationship with ischaemic stroke of the brainstem. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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