Fenestration of right middle cerebral artery (M1)

Case contributed by Christof Igler
Diagnosis certain

Presentation

Intermittent headache. No neurological deficit.

Patient Data

Age: 35 years
Gender: Female

Fenestration of the M1 segment of the right middle cerebral artery.

Fetal origin of the right posterior cerebral artery.

No aneurysm.

Case Discussion

This is a rare case (<1%) of a fenestrated M1 segment of the right middle cerebral artery. Cerebral arterial fenestrations are an anatomic variant.

The anterior communicating arterial complex and the basilar artery are the most common sites. There is no definite pathological relationship with aneurysms.

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