scholarly journals Successful Endovascular Occlusion of a Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm of the Caudal Trunk: Case Report

2007 ◽  
Vol 13 (3) ◽  
pp. 271-276 ◽  
Author(s):  
H.-S. Kang ◽  
H.G. Roh ◽  
M.H. Han ◽  
Y.-C. Koh

We report a rare case of a ruptured distal anterior inferior cerebellar artery (possibly dissecting) aneurysm of the caudal trunk, successfully treated by endovascular occlusion. A 41-year-old man presented with sudden severe headache and drowsiness. On the day of ictus, conventional angiography was performed to make the above diagnosis, followed by endovascular occlusion of the sac and the parent artery. The patient recovered completely without any neurologic deficit after treatment. Endovascular occlusion could be a safe and effective treatment option in a case of a ruptured distal AICA aneurysm of the caudal trunk.

2016 ◽  
Vol 36 (01) ◽  
pp. 58-61 ◽  
Author(s):  
Arquimedes Cardoso ◽  
Luiz Lemos ◽  
Marcos Marques Júnior

Anterior inferior cerebellar artery (AICA) aneurysms are extremely rare, accounting for only 0.75% of all intracranial aneurysms. The average age of patients suffering from those aneurysms found in the literature was 44 years, with no significant difference between the sexes. These aneurysms can manifest clinically through expansive symptoms in cerebellopontine angle or through signs and symptoms of subarachnoid hemorrhage, such as nausea, vomiting, headache, nystagmus and paresis. The gold standard exam for diagnosis is cerebral angiography. The treatment of these lesions is controversial. The main difficulty of the surgical treatment of these aneurysms is the location of the AICA, which lies close to critical neurovascular structures. In this article, we describe a proximal AICA aneurysm embolization without occlusion of the parent artery, with excellent results in the postoperative period.


2008 ◽  
Vol 21 (2) ◽  
pp. 261-265 ◽  
Author(s):  
Xianli Lv ◽  
Youxiang Li ◽  
Aihua Liu ◽  
Jingbo Zhang ◽  
Zhongxue Wu

2007 ◽  
Vol 20 (5) ◽  
pp. 570-573 ◽  
Author(s):  
E. Uysal ◽  
M. Velioglu ◽  
E. Kara ◽  
S. Albayram ◽  
C. Islak ◽  
...  

A rare case of persistent hypoglossal artery in conjuction with a ruptured aneurysm at the left proximal posterior inferior cerebellar artery (PICA) is presented. A ruptured PICA aneurysm was successfully treated by endovascular occlusion of the aneurym with coiling.


1999 ◽  
Vol 5 (2) ◽  
pp. 171-177 ◽  
Author(s):  
T. Nakaharas ◽  
K. Kurisu ◽  
T. Yano ◽  
K. Sakoda

A 43-year-old man with dissecting vertebral artery aneurysm presented with subarachnoid haemorrhage. The vertebral angiography showed a fusiform dilatation at the right intracranial vertebral artery between the origin of posterior inferior cerebellar artery and the vertebral union. After failing conservative therapy, a balloon-expandable stent was placed at intracranial vertebral artery, in a manner such that the entire dissecting aneurysm was covered. On follow-up angiogram, we recognized regrowth of theresidual aneurysm and stent deformation. The parent artery was occluded completely with several Guglielmi detachable coils. Brainstem dysfunction or rebleeding of the aneurysm were not encountered. Recently stenting therapy was deployed for a patient with dissecting aneurysm of the extracranial carotid or vertebral artery who was not a candidate for surgical treatment. We discuss the feasibilities and limitations of stent therapy.


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