This case underscores the importance of considering and assessing for vascular anomalies like basilar artery fenestration in patients with migraines, especially when there is a family history of cerebrovascular disorders, and assessing birth control regimens of migraine patients.Monitoring patients with basilar artery fenestration with repeat MRI/MRAs annually seems like a reasonable plan balancing risks and benefits.
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Rahangdale et al. (2024) studied this question.
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