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http://dx.doi.org/10.3340/jkns.2012.51.1.40

Dissecting Aneurysm Associated with a Double Origin of the Posterior Inferior Cerebellar Artery Causing Subarachnoid Hemorrhage  

Koh, Jun-Seok (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong)
Lee, Cheol-Young (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong)
Lee, Seung-Hwan (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong)
Kim, Gook-Ki (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong)
Publication Information
Journal of Korean Neurosurgical Society / v.51, no.1, 2012 , pp. 40-43 More about this Journal
Abstract
Two cases of the posterior fossa dissecting aneurysm associated with a double origin of the posterior inferior cerebellar artery (DOPICA) causing subarachnoid hemorrhage are presented. After observing a relationship between the aneurysm and DOPICA on a three dimensional rotational angiogram (3DRA), the dissecting aneurysms were successfully obliterated by surgical trapping and endovascular internal trapping, respectively. This report warrants suspecting DOPICA of an associating anomaly predisposing to dissecting aneurysm in the vertebral artery-posterior inferior cerebellar artery territory and highlights the role of 3DRA in pretreatment evaluation of unusual aneurysms accompanying a particular anatomical variation.
Keywords
Anomaly; Dissecting aneurysm; Posterior inferior cerebellar artery; Three dimensional rotational angiogram;
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1 Ali MJ, Bendok BR, Tawk RG, Getch CC, Batjer HH : 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; discussion 262-263, 2002   DOI   ScienceOn
2 Arai K, Endo S, Hirashima Y, Takaku A : Posterior inferior cerebellar artery aneurysm associated with fenestration of the vertebral artery--case report. Neuro Med Chir (Tokyo) 29 : 29-31, 1989   DOI
3 Ashley WW Jr, Chicoine MR : Subarachnoid hemorrhage caused by posterior inferior cerebellar artery aneurysm with an anomalous course of the atlantoaxial segment of the vertebral artery. Case report and review of literature. J Neurosurg 103 : 356-360, 2005   DOI   ScienceOn
4 Fine AD, Cardoso A, Rhoton AL Jr : Microsurgical anatomy of the extracranial-extradural origin of the posterior inferior cerebellar artery. J Neurosurg 91 : 645-652, 1999   DOI
5 Kwon BJ, Jung C, Im SH, Lee DH, Han MH : Double origin of the posteroinferior cerebellar artery : angiographic anatomy and endovascular treatment of concurrent vertebrobasilar dissection. Neurosurgery 61 : 242-247; discussion 247-248, 2007   DOI
6 Lasjaunias P, Vallee B, Person H, Ter Brugge K, Chiu M : The lateral spinal artery of the upper cervical spinal cord. Anatomy, normal variations, and angiographic aspects. J Neurosurg 63 : 235-241, 1985   DOI
7 Lesley WS, Dalsania HJ : Double origin of the posterior inferior cerebelrived lar artery. AJNR Am J Neuroradiol 25 : 425-427, 2004
8 Lesley WS, Rajab MH, Case RS : Double origin of the posterior inferior cerebellar artery : association with intracranial aneurysm on catheter angiography. AJR Am J Roentgenol 189 : 893-897, 2007   DOI   ScienceOn
9 Nishizaki T, Tamaki N, Nishida Y, Fujita K, Matsumoto S : Aneurysms of the distal posterior inferior cerebellar artery : experience with three cases and review of the literature. Neurosurgery 16 : 829-832, 1985   DOI
10 Pasco A, Thouveny F, Papon X, Tanguy JY, Mercier P, Caron-Poitreau C, et al. : Ruptured aneurysm on a double origin of the posterior inferior cerebellar artery : a pathological entity in an anatomical variation. Report of two cases and review of the literature. J Neurosurg 96 : 127-131, 2002   DOI
11 Tabatabai SA, Zadeh MZ, Meybodi AT, Hashemi M : Extracranial aneurysm of the posterior inferior cerebellar artery with an aberrant origination : case report. Neurosurgery 61 : E1097-E1098; discussion E1098, 2007   DOI