This anomaly is considered somewhat rare and congenital. Usually there's no need for treatment or need to do followup studies of it but there is mention of increased predisposition to basilar artery aneurysm in the literature. If you're still concerned, consult a neurosurgeon for advice.
Answered 10/12/2022
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You describe a congenital vascular variation affecting the basilar artery. From your post, you do not describe presence of an aneurysm. Cannot comment about stroke risks without more of your medical history, but the described fenestration has little contributing impact to eventual stroke.
Answered 10/14/2022
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