Vertebral artery fenestration

Case contributed by Husam Hussein Yaseen
Diagnosis certain

Presentation

History of a cerebrovascular accident.

Patient Data

Age: 60 years
Gender: Female

The V2 segment of the right vertebral artery is bifurcated and then coalesced with a thin bony plate in between consistent with vertebral artery fenestration. 

Partially calcified atheromatous plaques are seen in both ICAs causing significant stenosis.

Incidental bilateral thyroid lobes variably calcified nodules.

Case Discussion

This is an incidental finding, the main indication of the CTA is the evaluation of the carotid arteries.

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