A fenestration of the middle cerebral artery, aneurysms of the anterior cerebral artery and an arteriovenous malformation: A case report

Abstract

We report a case of multiple vascular pathologies including a fenestration of the middle cerebral artery, aneurysms of the anterior communicating artery, and an arteriovenous malformation.A 52-year-old female presented with disturbance of consciousness. Head computed tomography showed a subarachnoid hemorrhage and an intracerebral hemorrhage, and cerebral angiography showed a fenestration of the right middle cerebral artery, aneurysms of the anterior communicating artery, and an arteriovenous malformation in left frontal operculum. We performed endovascular embolization for Acom aneurysms. Postoperative course was uneventful.This combination of vascular pathology was rare.