{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:05:26Z","timestamp":1790874326049,"version":"4.1.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[1994,6]]},"abstract":"<jats:p>Vertebrobasilar junction fenestration is considered to be a subtype of fenestration of the proximal basilar artery, which has been described only in autopsy cases. The fenestration associated with a dissecting vertebral aneurysm is extremely rare.<\/jats:p>\n          <jats:p>A 47-year-old man presented with subarachnoid hemorrhage. The four-vessel angiogram showed a fusiform dilatation with an intimal flap of the left vertebral artery distal to the origin of the posterior inferior cerebellar artery and a fenestration at the vertebrobasilar junction, in which a small limb of the fenestration arising from the distal portion of the left vertebral artery bridged the proximal basilar trunk, while another limb had a large diameter showing the same diameter as the basilar artery. The dissecting aneurysm was treated with body clipping by directly clipping the ruptured portion of the aneurysm via a suboccipital approach in an early operation 48 hours after the ictus. The patient had a good recovery and returned to his work. He is well at a 5-year follow-up.<\/jats:p>\n          <jats:p>The relevant angiographic features of the vertebrobasilar junction fenestration and the surgical treatment of such associated aneurysms are discussed.<\/jats:p>","DOI":"10.1161\/01.str.25.6.1273","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T20:08:03Z","timestamp":1308341283000},"page":"1273-1275","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Vertebrobasilar junction fenestration associated with dissecting aneurysm of intracranial vertebral artery."],"prefix":"10.1161","volume":"25","author":[{"given":"Q J","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Gibo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Hongo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.STR.25.6.1273","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T22:21:54Z","timestamp":1715552514000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.STR.25.6.1273"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,6]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[1994,6]]}},"alternative-id":["10.1161\/01.STR.25.6.1273"],"URL":"https:\/\/doi.org\/10.1161\/01.str.25.6.1273","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,6]]},"assertion":[{"value":"1994-06-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}