scholarly journals Clipping of ipsilateral posterior communicating and superior cerebellar artery aneurysms

2015 ◽  
Vol 38 (videosuppl1) ◽  
pp. Video4
Author(s):  
Babu G. Welch
Keyword(s):  
Artery Aneurysm ◽  
Chief Complaint ◽  
Superior Cerebellar Artery ◽  
Digital Subtraction ◽  
Pterional Approach ◽  
Surgical Clipping ◽  
Cerebellar Artery ◽  
Intraoperative Management ◽  
History Of ◽  
Posterior Communicating Artery Aneurysm

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.

scholarly journals Surgical Treatment of A Dissecting Aneurysm of the Superior Cerebellar Artery: Case Report

2014 ◽  
Vol 21 (3) ◽  
pp. 269-273 ◽  
Author(s):  
Florin Stefanescu ◽  
Stefanita Dima ◽  
Mugurel Petrinel Radoi
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Endovascular Treatment ◽  
Artery Aneurysm ◽  
Peripheral Region ◽  
Dissecting Aneurysm ◽  
Superior Cerebellar Artery ◽  
Surgical Clipping ◽  
Cerebellar Artery

Abstract Dissecting aneurysm located in the peripheral region of the superior cerebellar artery is very rare. There is little experience regarding their surgical or endovascular treatment. We present the case of a peripheral dissecting superior cerebellar artery aneurysm treated by surgical clipping.

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
Keyword(s):  
Artery Aneurysm ◽  
Superior Cerebellar Artery ◽  
Pterional Approach ◽  
Cerebellar Artery ◽  
Contralateral Pterional Approach

scholarly journals Extreme Lateral Supracerebellar Infratentorial Approach to the Lateral Midbrain

2018 ◽  
Vol 79 (S 05) ◽  
pp. S415-S417
Author(s):  
M. Kalani ◽  
William Couldwell
Keyword(s):  
Cranial Nerves ◽  
Sudden Onset ◽  
Superior Cerebellar Artery ◽  
Entry Zone ◽  
Cerebellar Artery ◽  
Sensory Disturbances ◽  
History Of ◽  
Supracerebellar Infratentorial Approach ◽  
The Right ◽  
Piecemeal Resection

This video illustrates the case of a 52-year-old man with a history of multiple bleeds from a lateral midbrain cerebral cavernous malformation, who presented with sudden-onset headache, gait instability, and left-sided motor and sensory disturbances. This lesion was eccentric to the right side and was located in the dorsolateral brainstem. Therefore, the lesion was approached via a right-sided extreme lateral supracerebellar infratentorial (exSCIT) craniotomy with monitoring of the cranial nerves. This video demonstrates the utility of the exSCIT for resection of dorsolateral brainstem lesions and how this approach gives the surgeon ready access to the supracerebellar space, and cerebellopontine angle cistern. The lateral mesencephalic safe entry zone can be accessed from this approach; it is identified by the intersection of branches of the superior cerebellar artery and the fourth cranial nerve with the vein of the lateral mesencephalic sulcus. The technique of piecemeal resection of the lesion from the brainstem is presented. Careful patient selection and respect for normal anatomy are of paramount importance in obtaining excellent outcomes in operations within or adjacent to the brainstem.The link to the video can be found at: https://youtu.be/aIw-O2Ryleg.

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.

Sign in / Sign up

Export Citation Format

Share Document