scholarly journals Fatal Outcome after Delayed Pipeline Embolization Device Migration for the Treatment of a Giant Superior Cerebellar Artery Aneurysm: Technical Note for Complication Avoidance

2014 ◽  
Vol 04 (04) ◽  
pp. 163-168 ◽  
Author(s):  
Ramón Navarro ◽  
Edison J. Cano ◽  
Leonardo B. C. Brasiliense ◽  
Guilherme Dabus ◽  
Ricardo A. Hanel
Keyword(s):  
Fatal Outcome ◽  
Artery Aneurysm ◽  
Technical Note ◽  
Superior Cerebellar Artery ◽  
Pipeline Embolization Device ◽  
Cerebellar Artery

Aneurysms with persistent patency after treatment with the Pipeline Embolization Device

2016 ◽  
Vol 126 (6) ◽  
pp. 1894-1898 ◽  
Author(s):  
Peter Kan ◽  
Visish M. Srinivasan ◽  
Nnenna Mbabuike ◽  
Rabih G. Tawk ◽  
Vin Shen Ban ◽  
...  
Keyword(s):  
Intracranial Aneurysms ◽  
Cerebral Aneurysms ◽  
Artery Aneurysm ◽  
Superior Cerebellar Artery ◽  
Anterior Inferior Cerebellar Artery ◽  
Pipeline Embolization Device ◽  
Cerebellar Artery ◽  
Middle Cerebral Artery Aneurysms ◽  
Flow Diverters

The Pipeline Embolization Device (PED) was approved for the treatment of intracranial aneurysms from the petrous to the superior hypophyseal segment of the internal carotid artery. However, since its approval, its use for treatment of intracranial aneurysms in other locations and non-sidewall aneurysms has grown tremendously. The authors report on a cohort of 15 patients with 16 cerebral aneurysms that incorporated an end vessel with no significant distal collaterals, which were treated with the PED. The cohort includes 7 posterior communicating artery aneurysms, 5 ophthalmic artery aneurysms, 1 superior cerebellar artery aneurysm, 1 anterior inferior cerebellar artery aneurysm, and 2 middle cerebral artery aneurysms. None of the aneurysms achieved significant occlusion at the last follow-up evaluation (mean 24 months). Based on these observations, the authors do not recommend the use of flow diverters for the treatment of this subset of cerebral aneurysms.

scholarly journals Fusiform superior cerebellar artery aneurysm treated with flow diversion: A case report

2020 ◽  
Vol 11 ◽  
pp. 330
Author(s):  
Yafell Serulle ◽  
Deepak Khatri ◽  
Jada Fletcher ◽  
Anna Pappas ◽  
Audrey Heidbreder ◽  
...  
Keyword(s):  
Artery Aneurysm ◽  
Flow Diversion ◽  
Superior Cerebellar Artery ◽  
Parent Artery ◽  
Fusiform Aneurysm ◽  
Parent Vessel ◽  
Pipeline Embolization Device ◽  
Head Ct ◽  
Cerebellar Artery ◽  
The Right

Background: Fusiform aneurysms of the distal superior cerebellar artery are rare and challenging to treat. Due to the rarity of these lesions, there is little consensus regarding their management. Treatment options have traditionally included parent artery sacrifice with either an endovascular approach or microsurgical clipping. Given the small diameter of the superior cerebellar artery, flow diversion has not been typically considered as a viable treatment option for these aneurysms. Case Description: A 67-year-old female presented complaining of severe sudden onset headache. Noncontrast head CT demonstrated no intracranial hemorrhage. Head CT angiogram demonstrated a 4.2 mm fusiform aneurysm in the distal right superior cerebellar artery. The patient underwent treatment with the Pipeline embolization device which was deployed in the right superior cerebellar artery covering the aneurysm. Six-month posttreatment follow-up angiogram demonstrated resolution of the aneurysm with patency of the parent vessel. Conclusion: To the best of our knowledge, this is the first report of a distal superior cerebellar artery aneurysm treated with the Pipeline embolization device. The use of a Pipeline stent to create flow diversion should be considered in a case of a fusiform aneurysm of the right superior cerebellar artery. Treatment with flow diversion may allow for the treatment of the aneurysm while preserving patency of the parent vessel.

Clinicoradiological Review: Symptomatic Superior Cerebellar Artery Aneurysm Imitating Cerebellopontine Angle Tumor

Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. 836-840 ◽  
Author(s):  
Ricardo J. Komotar ◽  
E Sander Connolly ◽  
Alexander Khandji ◽  
George P. Teitelbaum ◽  
Sean D. Lavine
Keyword(s):  
Cerebellopontine Angle ◽  
Artery Aneurysm ◽  
Superior Cerebellar Artery ◽  
Cerebellopontine Angle Tumor ◽  
Cerebellar Artery

Superior Cerebellar Artery Aneurysm

2016 ◽  
Author(s):  
Jonathan Russin ◽  
Yashar Kalani ◽  
Aaron Cohen-Gadol
Keyword(s):  
Artery Aneurysm ◽  
Superior Cerebellar Artery ◽  
Cerebellar Artery

scholarly journals Retrosigmoid Approach for Trapping and Removal of a Distal Dissecting Superior Cerebellar Artery Aneurysm in a Child

2018 ◽  
Vol 80 (S 03) ◽  
pp. S335-S338 ◽  
Author(s):  
Javier Ros de San Pedro
Keyword(s):  
Artery Aneurysm ◽  
Vascular Lesion ◽  
Retrosigmoid Approach ◽  
Vascular Lesions ◽  
Superior Cerebellar Artery ◽  
Anterior Inferior Cerebellar Artery ◽  
Unsteady Gait ◽  
Cerebellar Artery ◽  
Preoperative Magnetic Resonance ◽  
Magnetic Resonance Imaging Mri

Objectives To demonstrate the feasibility of the retrosigmoid craniotomy for surgical management of vascular lesions located in the cerebellopontine angle (CPA). Method A previously healthy 2-year-old boy presented a sudden episode of torticollis to the left while sleeping. This episode was selflimited but it occurred two more times in a 6-day span. Torticollis worsened in the upright position, caused unsteady gait and refusal to walk from the child. The preoperative magnetic resonance imaging (MRI) showed the presence of a round, heterogenous vascular lesion in the left CPA. The lesion clearly enhanced after contrast administration. The preoperative angiography demonstrated the absence of left anterior inferior cerebellar artery anterior inferior cerebellar artery (AICA), being the left superior cerebellar artery (SCA) the supplier of the left lateral cerebellum. A blurred blush on the distal left SCA was compatible with a fusiform aneurysm. A standard retrosigmoid approach was planned for trapping and removal of the aneurysm. Results Through a left retrosigmoid craniotomy the aneurysm was approached, along with the different neurovascular structures of the CPA. The aneurysm leaned on the VII, VIII nerves complex and the superior petrosal vein, while tightly attached to the lateral cerebellum. Both proximal and distal SCA segments to the aneurysm were dissected, clipped, and divided for a complete trapping. Finally, the aneurysm was completely detached and removed in a whole piece. The patient fully recovered after surgery with no relapse of his symptoms. Conclusion The retrosigmoid craniotomy is a versatile approach that permits wide exposure of all CPA structures and adequate removal of distal aneurysms located in those cerebellar arteries supplying the lateral cerebellum.The link to the video can be found at: https://youtu.be/oEVfy4goFYM.

SUBINTIMAL HEMORRHAGE IN AN UNRUPTURED SUPERIOR CEREBELLAR ARTERY ANEURYSM: PRELUDE TO RUPTURE

Neurosurgery ◽  
2008 ◽  
Vol 63 (2) ◽  
pp. E368-E369 ◽  
Author(s):  
David A. Altman ◽  
Ferdinand K. Hui ◽  
Luis M. Tumialán ◽  
C. Michael Cawley
Keyword(s):  
Artery Aneurysm ◽  
Superior Cerebellar Artery ◽  
Cerebellar Artery

scholarly journals Osteogenesis Imperfecta, Multiple Intra-Abdominal Arterial Dissections and a Ruptured Dissecting-Type Intracranial Aneurysm

2011 ◽  
Vol 17 (3) ◽  
pp. 371-375 ◽  
Author(s):  
C.C. Matouk ◽  
A Hanbidge ◽  
D.M. Mandell ◽  
K.G. Terbrugge ◽  
R. Agid
Keyword(s):  
Intracranial Aneurysm ◽  
Osteogenesis Imperfecta ◽  
Intracranial Aneurysms ◽  
Artery Aneurysm ◽  
Abdominal Distension ◽  
Superior Cerebellar Artery ◽  
Parent Vessel ◽  
Management Implications ◽  
Rare Association ◽  
Cerebellar Artery

We describe an adult patient with a ruptured dissecting-type superior cerebellar artery aneurysm and known osteogenesis imperfecta. He was successfully treated with coil embolization and intentional parent vessel sacrifice. During his hospital admission, he also suffered from abdominal distension. An incidental note was made of multiple intra-abdominal arterial dissections. These were managed conservatively. We review the rare association of osteogenesis imperfecta and intracranial aneurysms, as well as discuss management implications.

Traumatic Aneurysm of the Superior Cerebellar Artery: Case Report and Review of the Literature

Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 476-479 ◽  
Author(s):  
Keith B. Quattrocchi ◽  
Surl L. Nielsen ◽  
Virginia Poirier ◽  
Franklin C. Wagner
Keyword(s):  
Artery Aneurysm ◽  
Posterior Circulation ◽  
Superior Cerebellar Artery ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Traumatic Aneurysm ◽  
Computed Tomographic ◽  
Cerebellar Artery ◽  
Computed Tomographic Scan ◽  
Traumatic Aneurysms

Abstract Less than 10% of the 250 reported cases of traumatic intracranial aneurysms have involved the posterior circulation. Traumatic aneurysms of the superior cerebellar artery are extremely rare, with only three cases previously reported. This is the first report of a traumatic superior cerebellar artery aneurysm in which the diagnosis was suggested by computed tomographic scan. The potential for a good outcome suggests the value of early angiography when the history and diagnostic imaging studies suggest the possibility of a traumatic aneurysm.

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