Bilateral agenesis of the internal carotid artery is a rare anomaly of embryonic development frequently associated with intracranial aneurysm. We describe a case involving an aneurysm that burst in the third middle of the basilar artery and exhibited a bilateral agenesis of the internal carotid artery. The aneurysm was treated via an endovascular route using detachable coils.

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A 14-year-old boy undergoing treatment for nephrotic syndrome with steroids and cyclosporine presented with small sclerotic bone lesions in a routine chest radiograph. Similar lesions were found in other bones of the axial and appendicular skeleton. Despite the paucity of clinical symptoms and absence of laboratory data suggesting systemic mastocytosis, the diagnosis of an indolent form of this disorder was made based on radiographic signs and confirmed by biopsy.