AJDRAJNR - American Journal of Neuroradiology

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ARTICLE

Multichannel Fenestrations of the Petrous Segment of the Internal Carotid Artery

Sundeep Manglaa and George P. Teitelbauma

a From the Departments of Neuroradiology (S.M.) and Neurological Surgery (G.P.T.), USC School of Medicine, Los Angeles, CA.

Summary: Multichannel fenestration of the internal carotid artery (ICA) is a rare, previously unreported developmental anomaly with unknown clinical significance. Although previously thought to have distinct embryologic origins, the presence of multiple channels in a short-segment fenestration favors a common developmental pathway for the origin of duplications and fenestrations: the persistence of a plexiform vascular network from the 4-mm to 5-mm embryologic stage of development.