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Endovascular treatment of the posterior inferior cerebellar artery aneurysms

  • Interventional Neuroradiology
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Abstract

Aneurysms may arise at various locations along the course of the posterior inferior cerebellar artery. Brainstem and cranial nerves manipulation make the surgical approach to proximal aneurysms difficult, while the occlusion of the parent vessel is sometimes unavoidable in peripheral aneurysms. Endovascular treatment can be a good alternative, but also with this approach the location of the aneurysm is critical. If occlusion of the parent vessel is planned, anatomical variations and vascular territories of the brainstem should be considered. We report our experience with 18 consecutive aneurysms (12 proximal, 6 peripheral) treated by coils. Complete occlusion was achieved in 14 patients and subtotal in 4. In three patients the parent vessel had to be sacrificed. During treatment two perforations occurred; aneurysms were completely occluded without clinical consequences. Two small asymptomatic cerebellar infarctions were seen on postoperative computed tomography. Clinical outcome was good in 16 patients

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References

  1. Blard JM, Finiels PJ, Combalbert A, Vlahovitch B, Frerebeau P, Grellier P, Privat JM, Finiels H, Pages M, Heroum C (1997) Symptomatic aneurysms of the postero-inferior cerebellar artery. A multicenter retrospective study of 29 cases. Rev Neurol (Paris) 155:41–50

    Google Scholar 

  2. Finiels PJ, Combalbert A, Privat JM, Paquis P (1996) Proximal aneurysms of the posteroinferior cerebellar artery. Therapeutic consideration upon a multicenter retrospective study of 24 cases. Neurochirurgie 42:169–177

    CAS  PubMed  Google Scholar 

  3. Hudgins RJ, Day AL, Quisling RG, Rhoton AL Jr, Sypert GW, Garcia-Bengochea F (1983) Aneurysms of the posterior inferior cerebellar artery. A clinical and anatomical analysis. J Neurosurg 58:381–387

    CAS  PubMed  Google Scholar 

  4. Lee KS, Gower DJ, Branch CL Jr, Kelly DL Jr, McWhorter JM, Bell WO (1989) Surgical repair of aneurysms of the posterior inferior cerebellar artery—a clinical series. Surg Neurol 31:85–91

    Article  CAS  PubMed  Google Scholar 

  5. Lewis SB, Chang DJ, Peace DA, Lafrentz PJ, Day AL (2002) Distal posterior inferior cerebellar artery aneurysms: clinical features and management. J Neurosurg 97:756–766

    PubMed  Google Scholar 

  6. Huber P (1979) Zerebrale Angiographie fuer klinik und praxis. Thieme, Stuttgart, pp 149–152

  7. Lister JR, Rhoton AL Jr, Matsushima T, Peace DA (1982) Microsurgical anatomy of the posterior inferior cerebellar artery. Neurosurgery 10:170–199

    CAS  PubMed  Google Scholar 

  8. Margolis MT, Newton T (1972) Borderlands of the normal and abnormal posterior inferior cerebellar artery. Acta Radiol Diagn (Stockh) 13:163–176

    Google Scholar 

  9. Nussbaum ES, Mendez A, Camarata P, Sebring L (2003) Surgical management of fusiform aneurysms of the peripheral posteroinferior cerebellar artery. Neurosurgery 53:831–834

    Article  PubMed  Google Scholar 

  10. Ali MJ, Bendok BR, Tawk RG, Getch CC, Batjer HH (2002) Trapping and revascularization for a dissecting aneurysm of the proximal posteroinferior cerebellar artery: technical case report and review of the literature. Neurosurgery 51:258–262

    Article  PubMed  Google Scholar 

  11. Duvernoy HM (1999) Human brainstem vessels. Springer, Berlin Heidelberg New York, pp 32–38

  12. Horowitz M, Kopitnik T, Landreneau F, Krummerman J, Batjer HH, Thomas G, Samson D (1998) Posteroinferior cerebellar artery aneurysms: surgical results for 38 patients. Neurosurgery 43:1026–1032

    Article  CAS  PubMed  Google Scholar 

  13. Mukonoweshuro W, Laitt RD, Hughes DG (2003) Endovascular treatment of PICA aneurysms. Neuroradiology 45:188–192

    CAS  PubMed  Google Scholar 

  14. Bradac GB, Stura G, Bergui M (2002) Endovascular treatment of cerebral aneurysm: part one. Techniques, difficulties, risks, indications. Riv Neuroradiol 15:537–548

    Google Scholar 

  15. Bergui M, Stura G, Bradac GB (2002) Endovascular treatment of cerebral aneurysm: part two. Results. Riv Neuroradiol 15:549–560

    Google Scholar 

  16. Henkes H, Fischer S, Weber W, Miloslavski E, Felber S, Brew S, Kuehne D (2004) Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results. Neurosurgery 54:268–280

    Article  PubMed  Google Scholar 

  17. Hamada J, Todaka T, Yano S, Kai Y, Morioka M, Ushio Y (2002) Vertebral artery-posterior inferior cerebellar artery bypass with a superficial temporal artery graft to treat aneurysms involving the posterior inferior cerebellar artery. J Neurosurg 96:867–871

    PubMed  Google Scholar 

  18. Kaptain GJ, Lanzino G, Do HM, Kassell NF (1999) Posterior inferior cerebellar artery aneurysms associated with posterior fossa arteriovenous malformation: report of five cases and literature review. Surg Neurol 51:146–152

    Article  CAS  PubMed  Google Scholar 

  19. Horiuchi T, Tanaka Y, Hongo K, Nitta J, Kusano Y, Kobayashi S (2003) Characteristics of distal posteroinferior cerebellar artery aneurysms. Neurosurgery 53:589–595

    Article  PubMed  Google Scholar 

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  1. Neuroradiology, Università di Torino, 15 via Cherasco, 10126, Turin, Italy

    G. B. Bradac & M. Bergui

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  1. G. B. Bradac
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  2. M. Bergui
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Correspondence to G. B. Bradac.

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Bradac, G.B., Bergui, M. Endovascular treatment of the posterior inferior cerebellar artery aneurysms. Neuroradiology 46, 1006–1011 (2004). https://doi.org/10.1007/s00234-004-1245-8

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  • DOI: https://doi.org/10.1007/s00234-004-1245-8

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