{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:06:38Z","timestamp":1785884798484,"version":"3.56.0"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,4,8]]},"abstract":"<jats:p>Accurately recognising a supraclinoid internal carotid artery (ICA) fenestration, despite its rare location, is important as it can mimic an intracranial aneurysm, intraluminal thrombus or focal dissection on non-invasive imaging. The overwhelming majority of reported supraclinoid ICA fenestrations are associated with intracranial aneurysms; however, a concomitant arteriovenous malformation (AVM) remote from the fenestration site should also be considered. We present the case of a 26-year-old woman with a Spetzler-Martin grade I right frontal AVM in whom a left supraclinoid ICA fenestration was incidentally discovered during cerebral angiography. She underwent n-N-Butyl Cyanoacrylate glue embolisation of two dominant middle cerebral artery feeders followed by neurosurgical resection. She tolerated procedures well without complications and has remained neurologically intact.<\/jats:p>","DOI":"10.1136\/bcr-2015-209733","type":"journal-article","created":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T06:50:43Z","timestamp":1430895043000},"page":"bcr2015209733","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Fenestration of the supraclinoid internal carotid artery in a patient with a concomitant intracranial arteriovenous malformation"],"prefix":"10.1136","volume":"2015","author":[{"given":"Emanuele","family":"Orru","sequence":"first","affiliation":[{"name":"Division of Interventional Neuroradiology, Johns Hopkins Hospital, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Wyse","sequence":"additional","affiliation":[{"name":"Division of Interventional Neuroradiology, Johns Hopkins Hospital, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica Smith","family":"Pearl","sequence":"additional","affiliation":[{"name":"Division of Interventional Neuroradiology, Johns Hopkins Hospital, Baltimore, Maryland, USA"},{"name":"Department of Radiology, Children's National Medical Centre, District of Columbia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,5,6]]},"reference":[{"key":"2025082623480376000_2015.may06_1.bcr2015209733.1","doi-asserted-by":"crossref","first-page":"592 e1","DOI":"10.1016\/j.wneu.2011.04.019","article-title":"Fenestration of supraclinoid internal carotid artery and associated aneurysm: embryogenesis, recognition, and management","volume":"76","author":"Dey","year":"2011","journal-title":"World Neurosurg"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.2","doi-asserted-by":"publisher","DOI":"10.7461\/jcen.2012.14.4.295"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.3","doi-asserted-by":"publisher","DOI":"10.1111\/jon.12092"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.4","first-page":"675","article-title":"Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies","volume":"14","author":"Sanders","year":"1993","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.5","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e31821ccd28"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.6","doi-asserted-by":"publisher","DOI":"10.1148\/106.1.123"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.7","doi-asserted-by":"publisher","DOI":"10.1007\/BF01773165"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.8","first-page":"438","article-title":"Supraclinoid internal carotid artery fenestration with an associated aneurysm","volume":"79","author":"Banach","year":"1993","journal-title":"Case report J Neurosurg"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.9","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-009-0555-2"},{"key":"2025082623480376000_2015.may06_1.bcr2015209733.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-007-0205-5"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-209733","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:48:14Z","timestamp":1756277294000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-209733"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,6]]},"references-count":10,"alternative-id":["10.1136\/bcr-2015-209733"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-209733","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,6]]}}}