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Fenestrations of the vertebral artery are mostly found at the upper cervical or intracranial segments. We present a rare case of vertebral artery fenestration at the lower cervical (C4-C6) segment, which showed a double-lumen appearance on ultrasonography. Computed tomographic angiography (CTA) and rotational angiography of the vertebral artery with three-dimensional (3D) reconstruction proved the...
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