单位：[1]Department of Neurology, Seventh People’s Hospital of Shanghai, Universityof Traditional Chinese Medicine, Shanghai, China[2]Department of Neurology,She Country Hospital, Hebei, China[3]Department of Neurology, China-JapanFriendship Hospital, Beijing, China
Background Fenestration of vertebra-basilar artery is an uncommon congenital vascular anomaly, which is identified by incidental findings on imaging in patients presented without related symptoms or in patients with intracerebral hemorrhage secondary to concomitant artery aneurysm or arteriovenous malformations. Yet, cases of fenestration being misdiagnosed as cerebral artery dissection have never been reported. Case presentation We present a patient of 66-year-old female with acute onset of dizziness after chiropractic manipulation of the neck. Neck computed tomography angiography (CTA) showed 'double lumen' sign and 'intimal flap' of the V1 segment of the vertebral artery, which led to the initial diagnosis of vertebral artery dissection (VAD). However, vertebral artery fenestration at V1 segment was eventually identified by multi-directional digital subtraction angiography (DSA). Interestingly, concomitant vertebral fenestration at V3 segment, basilar fenestration and basilar artery tip aneurysm was also revealed by DSA. Conclusion The triple fenestration at vertebrobasilar artery with basilar tip artery aneurysm is extremely rare, and the fenestration at the V1 segment of vertebral artery was easily misdiagnosed as VAD due to the similar imaging morphology.
基金：
Research Fund of the China-Japan Friendship Hospital [2015-2-QN-39]; shanghai natural science fund [18ZR14307000]
第一作者单位：[1]Department of Neurology, Seventh People’s Hospital of Shanghai, Universityof Traditional Chinese Medicine, Shanghai, China
通讯作者：
推荐引用方式(GB/T 7714)：
Wang Feng,Wang Xiaokai,Li Xiaohua,et al.A case of multiple Vertebrobasilar artery fenestration misdiagnosed as vertebral artery dissection[J].BMC NEUROLOGY.2020,20(1):doi:10.1186/s12883-020-01642-2.
APA：
Wang, Feng,Wang, Xiaokai,Li, Xiaohua,Zheng, Huifeng&Zhang, Zhiyong.(2020).A case of multiple Vertebrobasilar artery fenestration misdiagnosed as vertebral artery dissection.BMC NEUROLOGY,20,(1)
MLA：
Wang, Feng,et al."A case of multiple Vertebrobasilar artery fenestration misdiagnosed as vertebral artery dissection".BMC NEUROLOGY 20..1(2020)
