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American Journal of Neuroradiology 23:1291-1294, September 2002
© 2002 American Society of Neuroradiology

Case Report
INTERVENTIONAL

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

Lotfi Hacein-Beya,b,c, Cheryl A. Muszynskib and Panayiotis N. Varelasb,c

a Division of Neuroradiology, Departments of Radiology, Medical College of Wisconsin, Milwaukee
b Neurological Surgery, Medical College of Wisconsin, Milwaukee
c Neurology, Medical College of Wisconsin, Milwaukee

Address reprint requests to Lotfi Hacein-Bey, MD, Interventional Neuroradiology, Department of Radiology, Medical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI 53226

Summary: Fenestrations of the cerebral arteries are uncommon, and aneurysms in association with fenestrations are even more uncommon. We report the case of a saccular aneurysm associated with a posterior cerebral artery fenestration in a child with subarachnoid hemorrhage. The patient was successfully treated with Guglielmi detachable coils. This case is unusual because of the patient’s age and the location of the fenestration.




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