A Case of Endovascular Treatment for Acute Cerebral Infarction with Middle Cerebral Artery Fenestration

Li H#, Xu L#, Xiao Y* and Zhang B*

Department of Neurology, East Hospital, Tongji University School of Medicine, China
#These authors contributed equally to this work

^*Correspondance to: Bei Zhang 

 PDF  Full Text Case Report | Open Access

Abstract:

The fenestration of cerebrovascular vessels is a rare anatomic variant, it is usually detected incidentally during autopsies or cerebral angiography. Fenestration of the Middle Cerebral Artery (MCA) is even rarer of all variants. Previously reported cases of fenestration of the MCA with cerebral infarction are also rare. Moreover, when the infarction site is located in the fenestrated site, it brings challenges to the identification and recanalization of the infarction, which affects the treatment and prognosis of patients. We report a case of infarction of the fenestrated superior limb of the M1 segment of the MCA and the A1 segment of the Anterior Cerebral Artery (ACA) with endovascular treatment. This is not easy to diagnose before surgery, and it has a great influence on the disease progression and prognosis of patients. It is suggested that we should pay attention to identifying fenestration in clinical and improve clinical diagnosis and treatment.

Keywords:

Middle cerebral artery; Fenestration; Cerebral Infarction

Cite the Article:

H, Xu L, Xiao Y, Zhang B. A Case of Endovascular Treatment for Acute Cerebral Infarction with Middle Cerebral Artery Fenestration. Ann Clin Case Rep. 2023; 8: 2544..