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SSK Ankara Eğitim ve Araştırma Hastanesi, 2. Nöroşirürji Kliniği, Dışkapı, Ankara Anomalies and variations of the intracranial arteries is a well known entity. Fenestration of the middle cerebral artery is an unusual anomaly. The incidence of angiographic demonstration of this anomaly has been reported to be 0.26%. The clinical significance of fenestration of the intracranial arteries is their existence with other intracranial vascular anomalies. In this article a case of fenestrated middle cerebral artery accompanied with bilateral middle cerebral artery aneurysms is reported. Anahtar Kelimeler : Aneurysm, fenestration, middle cerebral artery