scholarly journals Ruptured Vertebral Artery-Posterior Inferior Cerebellar Artery Aneurysm Associated with Facial Nerve Paresis Successfully Treated with Interlocking Detachable Coils —Case Report—

1999 ◽  
Vol 39 (12) ◽  
pp. 863-866 ◽  
Author(s):  
Ryu KUROKAWA ◽  
Ryoichi SAITO ◽  
Yoshiki NAKAMURA ◽  
Hiroshi KAGAMI ◽  
Kiyoshi ICHIKIZAKI
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Vertebral Artery ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Cerebellar Artery ◽  
Detachable Coils ◽  
Nerve Paresis

scholarly journals Distal posterior inferior cerebellar artery aneurysm: case report

2005 ◽  
Vol 63 (2a) ◽  
pp. 335-338 ◽  
Author(s):  
Ricardo Ramina ◽  
Viviane Aline Buffon ◽  
Jerônimo Buzetti Milano ◽  
Erasmo Barros da Silva Jr ◽  
Kelly Cristina Bordignon
Keyword(s):  
Case Report ◽  
Vertebral Artery ◽  
Computerized Tomography ◽  
Intraventricular Hemorrhage ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Subarachnoidal Hemorrhage ◽  
Cerebellar Artery ◽  
Clinical Series ◽  
Pica Aneurysms

The majority of posterior inferior cerebellar artery (PICA) aneurysms are usually found on the bifurcation of the vertebral artery (VA) - PICA junction. Aneurysms arising from more peripheral PICA segments named distal PICA aneurysm are uncommon. The major clinical manifestation is that of an intracranial bleeding and the site of hemorrhage is related to the PICA segment originating the aneurysm. Lesions originating from distal PICA segments, particularly those arising from the telovelotonsillar segment, are associated with hemorrhage extending into the ventricular system, mainly the IV ventricle. A case of a 50-year-old woman with sudden headaches and vomiting, and intraventricular hemorrhage (four ventricles) caused by an aneurysm of the telovelotonsillar segment of the PICA, is presented. No signs of subarachnoidal hemorrhage were found in the computerized tomography. The aneurysm was clipped and the patient presented a favorable outcome. Anatomical aspects and clinical series are reviewed.

scholarly journals Treatment of a Vertebral Dissecting Aneurysm with a Balloon-Expandable Stent and Guglielmi Detachable Coils

1999 ◽  
Vol 5 (2) ◽  
pp. 171-177 ◽  
Author(s):  
T. Nakaharas ◽  
K. Kurisu ◽  
T. Yano ◽  
K. Sakoda
Keyword(s):  
Vertebral Artery ◽  
Posterior Inferior Cerebellar Artery ◽  
Artery Aneurysm ◽  
Dissecting Aneurysm ◽  
Parent Artery ◽  
Guglielmi Detachable Coils ◽  
Stent Deformation ◽  
Cerebellar Artery ◽  
Detachable Coils ◽  
The Right

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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