Basilar Artery Aneurysm with Fenestration

Findings:
MRA and DSA show aneurysmal dilatation of the mid to distal basilar artery. Just above the aneurysm, the artery is divided into two channels.

Discussion:
Fenestration is a rare congenital vascular anomaly in which the artery is divided into two channels. The abnormal turbulence caused by these lesions predisposes to aneurysm formation.

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