scholarly journals Basilar Superior Cerebellar Artery Aneurysm Treated with Clipping via a Contralateral Pterional Approach

2019 ◽  
Vol 47 (5) ◽  
pp. 381-384
Author(s):  
Nobusuke TSUZUKI ◽  
Hiroshi KAGEYAMA ◽  
Shingo YAMASHITA ◽  
Terushige TOYOOKA
2015 ◽  
Vol 38 (videosuppl1) ◽  
pp. Video4
Author(s):  
Babu G. Welch

The case is a 55-year-old female who presented with dizziness as the chief complaint. She has a family history of two relatives with subarachnoid hemorrhage. Digital subtraction angiography revealed the presence of a left-sided posterior communicating artery aneurysm and an ipsilateral superior cerebellar artery (SCA) aneurysm. Due to the smaller nature of the SCA, a decision was made to proceed with surgical clipping of both lesions through a pterional approach. A narrated video with illustrations depicts the intraoperative management of these lesions with postoperative angiography results.The video can be found here: http://youtu.be/HCHToSsXv-4.


Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. 836-840 ◽  
Author(s):  
Ricardo J. Komotar ◽  
E Sander Connolly ◽  
Alexander Khandji ◽  
George P. Teitelbaum ◽  
Sean D. Lavine

2016 ◽  
Author(s):  
Jonathan Russin ◽  
Yashar Kalani ◽  
Aaron Cohen-Gadol

2018 ◽  
Vol 80 (S 03) ◽  
pp. S335-S338 ◽  
Author(s):  
Javier Ros de San Pedro

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.


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

2011 ◽  
Vol 17 (3) ◽  
pp. 371-375 ◽  
Author(s):  
C.C. Matouk ◽  
A Hanbidge ◽  
D.M. Mandell ◽  
K.G. Terbrugge ◽  
R. Agid

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.


Neurosurgery ◽  
1990 ◽  
Vol 27 (3) ◽  
pp. 476-479 ◽  
Author(s):  
Keith B. Quattrocchi ◽  
Surl L. Nielsen ◽  
Virginia Poirier ◽  
Franklin C. Wagner

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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