scholarly journals Endovascular management of a ruptured aneurysm associated with distal PICA fenestration

2019 ◽  
Vol 25 (4) ◽  
pp. 430-433
Author(s):  
Jeyaseelan Nadarajah ◽  
Nishchint Jain ◽  
Leve Joseph Devarajan Sebastian ◽  
SB Gaikwad ◽  
Ajay Garg ◽  
...  
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Complete Recovery ◽  
Ruptured Aneurysm ◽  
Anatomic Variations ◽  
Endovascular Management ◽  
Neurological Sequelae ◽  
Cerebellar Artery ◽  
History Of ◽  
Parallel Channels ◽  
Occipital Headache

Fenestrations are rare but well-known arterial anatomic variations in which a segment of artery divides into two parallel channels that reunite distally. Although fenestrations as such are asymptomatic, they have gained clinical significance because of their association with aneurysms and other intracranial vascular pathologies. Here we present a 35-year-old woman with history of sudden severe occipital headache and vomiting. Imaging revealed a ruptured aneurysm in the distal posterior inferior cerebellar artery arising from one of the limbs of the fenestration. The aneurysm was successfully managed by coiling, and the patient made complete recovery without neurological sequelae.

scholarly journals Paraplegia due to a ruptured aneurysm of the distal posterior inferior cerebellar artery.

1992 ◽  
Vol 55 (9) ◽  
pp. 836-837 ◽  
Author(s):  
S Kashiwagi ◽  
E Tsuchida ◽  
Y Shiroyama ◽  
H Ito ◽  
T Yamashita
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Ruptured Aneurysm ◽  
Cerebellar Artery

Technical Considerations in the Endovascular Management of Aneurysms of the Posterior Inferior Cerebellar Artery

2012 ◽  
Vol 71 ◽  
pp. ons204-ons218 ◽  
Author(s):  
R. Webster Crowley ◽  
Felipe C. Albuquerque ◽  
Andrew F. Ducruet ◽  
Richard W. Williamson ◽  
Cameron G. McDougall
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Endovascular Management ◽  
Cerebellar Artery ◽  
Technical Considerations

Republished: Subarachnoid hemorrhage then thrombosis of posterior inferior cerebellar artery dissection: is early surgical exploration warranted?

2015 ◽  
Vol 8 (6) ◽  
pp. e22-e22
Author(s):  
Nikita G Alexiades ◽  
Jason A Ellis ◽  
Philip M Meyers ◽  
E Sander Connolly
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Posterior Inferior Cerebellar Artery ◽  
Definitive Treatment ◽  
Artery Dissection ◽  
Acute Thrombosis ◽  
Cerebellar Artery ◽  
History Of ◽  
Diseased Vessel ◽  
Vessel Thrombosis

The natural history of spontaneous cerebral artery dissection and thrombosis remains uncertain. Concurrent subarachnoid hemorrhage further complicates the therapeutic approach. Thus the best strategy for managing patients with acute vessel thrombosis in the setting of subarachnoid hemorrhage is unclear. Here we present a case of spontaneous posterior inferior cerebellar artery dissection presenting with subarachnoid hemorrhage and acute thrombosis. Although the patient was initially managed conservatively, angiographic follow-up demonstrated recanalization of the diseased vessel, necessitating definitive treatment. Thus we propose that angiographic follow-up is necessary in the management of patients with subarachnoid hemorrhage in association with apparent vessel thrombosis.

scholarly journals Intraventricular Hemorrhage caused by a Ruptured Aneurysm of the Distal Posterior Inferior Cerebellar Artery : Report of Two Cases

1999 ◽  
Vol 8 (9) ◽  
pp. 611-616 ◽  
Author(s):  
Kyongsong Kim ◽  
Sakae Awaya ◽  
Shigeru Hoshino ◽  
Takayuki Mizunari ◽  
Shirou Kobayashi ◽  
...  
Keyword(s):  
Intraventricular Hemorrhage ◽  
Posterior Inferior Cerebellar Artery ◽  
Ruptured Aneurysm ◽  
Cerebellar Artery

scholarly journals Spontaneous Vertebral Artery Dissection Presenting with Crescendo TIAs and Headache

2019 ◽  
pp. 1-6
Author(s):  
Dr. Nosakhare I Idehen ◽  
Dr. Mohammed Awad
Keyword(s):  
Vertebral Artery ◽  
Posterior Inferior Cerebellar Artery ◽  
Vertebral Artery Dissection ◽  
Symptomatic Improvement ◽  
Neurological Deficits ◽  
Artery Dissection ◽  
Neurological Sequelae ◽  
Cerebellar Artery ◽  
Ct Brain

We present the case of a man in his thirties who had attended the emergency department with complaint of a distressing headache and associated intermittent facial droop with occasional slurred speech. The patient’s symptoms were bizarre in their nature as they were random, not sustained and he had long intervals when he was asymptomatic and was his normal self. During the course of admission his symptoms evolved resulting in neurological deficits which were more sustained, prompting the need for further imaging beyond the initial plain CT brain which showed no abnormality. This led to the diagnosis of vertebral artery dissection (VAD) complicated with an ischaemic stroke in the posterior inferior cerebellar artery distribution (PICA) on MRI/MRA. Dual anti-platelet treatment was commenced with the patient attaining gradual symptomatic improvement prior to discharge. He has reported some degree of neurological sequelae which he described as intermittent poor coordination on follow up visit in clinic after discharge.

scholarly journals Anterior spinal and bulbar artery supply to the posterior inferior cerebellar artery revealed by a ruptured aneurysm: case report

2017 ◽  
Vol 126 (2) ◽  
pp. 596-599 ◽  
Author(s):  
Joseph Gabrieli ◽  
Nader-Antoine Sourour ◽  
Dorian Chauvet ◽  
Federico Di Maria ◽  
Jacques Chiras ◽  
...  
Keyword(s):  
Case Report ◽  
Spontaneous Rupture ◽  
Posterior Inferior Cerebellar Artery ◽  
Anterior Spinal Artery ◽  
Ruptured Aneurysm ◽  
Embryological Development ◽  
Anatomical Variants ◽  
Cerebellar Artery ◽  
Treatment Considerations

The posterior inferior cerebellar artery (PICA) is a vessel located between the intra- and extracranial circulation. The artery is characterized by a complex embryological development and numerous anatomical variants. The authors present a case of the PICA supplied by both a hypertrophic anterior spinal artery and a hypoplastic bulbar artery. This unusual arrangement somehow completes the list of previously published variants, and the spontaneous rupture of a related aneurysm confirmed the fragility of this network. The authors discuss anatomical and treatment considerations.

scholarly journals Ruptured Aneurysm of a Posterior Inferior Cerebellar Artery Communicating Artery

2012 ◽  
Vol 52 (2) ◽  
pp. 81-83 ◽  
Author(s):  
Shin-ichiro SUGIYAMA ◽  
Miki FUJIMURA ◽  
Takashi INOUE ◽  
Hiroaki SHIMIZU ◽  
Mika WATANABE ◽  
...  
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Ruptured Aneurysm ◽  
Cerebellar Artery
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