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An Unusual Case of a Thrombosed Giant Distal PICA Aneurysm Simulating a Large Cavernous Angioma  

Lim, Dong-Ho (Department of Neurosurgery Chonnam National University Hwasun Hospital & Medical School)
Jung, Shin (Department of Neurosurgery Chonnam National University Hwasun Hospital & Medical School)
Jung, Tae-Young (Department of Neurosurgery Chonnam National University Hwasun Hospital & Medical School)
Kim, Tae-Sun (Department of Neurosurgery Chonnam National University Hwasun Hospital & Medical School)
Publication Information
Journal of Korean Neurosurgical Society / v.43, no.3, 2008 , pp. 155-158 More about this Journal
Abstract
A 64-year-old woman was referred to our hospital with a one-month history of progressive headache. Magnetic resonance imaging (MRI) showed a hemorrhagic mass adjacent to the left inferior cerebellar hemisphere associated with a peripheral rim of signal void. Angiography demonstrated an avascular mass and the provisional diagnosis was a large cavernous angioma in the cerebellum. Intraoperative findings revealed a thrombosed giant aneurysm of the left distal posterior inferior cerebellar artery (PICA). We report an unusual case of a completely thrombosed giant aneurysm simulating a large cavernous angioma in the cerebellum. The cerebellar cisternal location of the mass may be a clue for the pre-operative diagnosis of an aneurysm.
Keywords
Posterior inferior cerebellar artery; Thrombosed giant aneurysm; Cavernous angioma;
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Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By Web Of Science : 0  (Related Records In Web of Science)
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1 Krapf H, Schoning M, Petersen D, Kuker W : Complete asymptomatic thrombosis and resorption of a congenital giant intracranial aneurysm. J Neurosurg 97 : 184-189, 2002   DOI   ScienceOn
2 Byrd SE, Bentson JR, Winter J, Wilson GH, Joyce PW, O'Connor L : Giant intracranial aneurysms simulating brain neoplasms on computed tomography. J Comput Assist Tomogr 2 : 303-307, 1978   DOI   PUBMED   ScienceOn
3 Katayama Y, Tsubokawa T, Miyazaki S, Furuichi M, Hirayama T, Himi K : Growth of totally thrombosed giant aneurysm within the posterior cranial fossa. Diagnostic and therapeutic considerations. Neuroradiology 33 : 168-170, 1991   DOI
4 Khurana VG, Wijdicks EF, Parisi JE, Piepgras DG : Acute deterioration from thrombosis and rerupture of a giant intracranial aneurysm. Neurology 52 : 1697-1699, 1999   DOI   ScienceOn
5 Lee KC, Joo JY, Lee KS, Shin YS : Recanalization of completely thrombosed giant aneursym; case report. Surg Neurol 51 : 94-98, 1999   DOI   ScienceOn
6 Sahs AL, Perret GE, Locksley HB, Nishioka H : Intracranial Aneurysms and Subarachnoid Hemorrhage. A Cooperative Study. Philadelphia : Lippincott Co, 1969, p296
7 Thron A, Bockenheimer S : Giant aneurysms of the posterior fossa suspected as neoplasms on computed tomography. Neuroradiology 18 : 93-97, 1978
8 Bull J : Massive aneurysms at the base of the brain. Brain 92 : 535-570, 1969   DOI   ScienceOn
9 Cantore GP, Ciappetta P, Vagnozzi R, Bozzao L : Giant aneurysm of the anterior inferior cerebellar artery simulating a cerebellopontine angle tumor. Surg Neurol 18 : 76-78, 1982   DOI   ScienceOn
10 Fisher A, Som PM, Mosesson RE, Lidov M, Liu TH : Giant intracranial aneurysms with skull base erosion and extracranial masses: CT and MR findings. J Comput Assist Tomogr 18 : 939-942, 1994   DOI   PUBMED   ScienceOn
11 Lewis SB, Chang DJ, Peace DA, Lafrentz PJ, Day AL : Distal posterior inferior cerebellar artery aneurysms: clinical features and management. J Neurosurg 97 : 756-766, 2002   DOI   ScienceOn
12 Urbach H, Meyer B, Cedzich C, Solymosi L : Posterior inferior cerebellar artery aneurysm in the fourth ventricle. Neuroradiology 37 : 267-269, 1995   DOI
13 Smith KA, Kraus GE, Johnson BA, Spetzler RF : Giant posterior communicating artery aneurysm presenting as third ventricle mass with obstructive hydrocephalus. Case report. J Neurosurg 81 : 299-303, 1994   DOI   ScienceOn
14 Schubiger O, Valavanis A, Hayek J : Computed tomography in cerebral aneurysms with special emphasis on giant intracranial aneurysms. J Comput Assist Tomogr 4 : 24-32, 1980   DOI   PUBMED   ScienceOn
15 Belec L, Cesaro P, Brugieres P : Tumor simulating giant serpentine aneurysm of the posterior cerebellar artery. Surg Neurol 29 : 210-215, 1998
16 Nadjmi M, Ratzka M, Wodarz M : Giant aneurysms in CT and angiography. Neuroradiology 16 : 284-286, 1978   DOI
17 Ahn JY, Chung YS, Kim OJ, Choi SW : Medial trunk aneurysm of the distal posterior inferior cerebellar artery in the fourth ventricle. J Korean Neurosurg Soc 34 : 57-60, 2003
18 Maxwell RE, Chou SN : Aneurysmal tumors of the basifrontal region. J Neurosurg 46 : 438-445, 1997
19 Mccormik WF, Nofzinger JD : Saccular intracranial aneurysms : an autopsy study. J Neurosurg 22 : 155-159, 1965   DOI
20 Schunk H : Spontaneous thrombosis of intracranial aneurysms. Am J Roentgenol Radium Ther Nucl Med 91 : 1327-1338, 1964   PUBMED
21 Yamaura A, Isobe K, Nakamura T, Ono J, Makino H : Posterior inferior cerebellar aneurysm in the fourth ventricle. Surg Neurol 13 : 297-299, 1980   PUBMED
22 Palmieri A, Ambrosio A, Profeta G, Maggi G : Intracranial thrombosed aneurysm. Value of some peculiar radiological signs. Ann Radiol (Paris) 13 : 869-876, 1970   PUBMED
23 Castel JC, Chaabane M, Guibert-Tranier F, Piton J, Caille JM : Intracranial supratentorial 'hypergiant' aneurysms. Diagnostic problems. A study of 8 cases. J Neuroradiol 12 : 135-149, 1985   PUBMED
24 Sarwar M, Batnitzky S, Schechter MM : Tumorous aneurysms. Neuroradiology 12 : 79-97, 1976   DOI