Posterior cerebral artery fenestration

Case contributed by Aqeel Alameer
Diagnosis certain

Presentation

Pulsatile tinnitus. Incidental finding

Patient Data

Age: 45 years
Gender: Female

CT intracranial angiogram

ct

Right P1-P2 fenestration as anatomical variation, seen at the level of right posterior communicating artery.

Case Discussion

Posterior cerebral artery (PCA) fenestration is rare but important to recognize, particularly for neurovascular procedures such as endovascular treatment of PCA and specifically P1 aneurysms.

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