Endovascular treatment of the posterior inferior cerebellar artery aneurysms.

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.

journal_name

Neuroradiology

journal_title

Neuroradiology

authors

Bradac GB,Bergui M

doi

10.1007/s00234-004-1245-8

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1006-11

issue

12

eissn

0028-3940

issn

1432-1920

journal_volume

46

pub_type

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