Document Detail


Ruptured aneurysm originating from an aberrant medullary branch of the proximal posterior inferior cerebellar artery: case report.
MedLine Citation:
PMID:  20023528     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Aneurysms that arise from a small branch of the posterior inferior cerebellar artery (PICA) are very rare. All reported PICA branch aneurysms originated from the choroidal branches or PICA communicating branches. No aneurysms of the PICA medullary branch have been reported previously. CLINICAL PRESENTATION: A 62-year-old woman presented with a subarachnoid hemorrhage and intraventricular hemorrhage. Angiography showed a globular-shaped aneurysm arising from an aberrant branch of the anterior medullary segment of the left PICA. At the time of operation, the arterial branch was found to send some perforators into to the medulla oblongata and cervical spinal cord. INTERVENTION: Aneurysm trapping was performed. Postoperatively, the patient had a mild transient difficulty in swallowing that may have been caused by manipulation of the vagus nerve rootlets. CONCLUSION: Aneurysms can develop from a proximal medullary branch of the PICA and lead to subarachnoid hemorrhage and intraventricular hemorrhage. Trapping can be judiciously attempted to treat this precarious aneurysm.
Authors:
Ji Hoon Phi; Sang Hyung Lee; Kyu Ri Son; Young Seob Chung
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  66     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-21     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E221; discussion E221     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Seoul National University Boramae Medical Center, Seoul, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, Ruptured / pathology*
Angiography
Cerebellum / blood supply*
Female
Humans
Intracranial Aneurysm / complications,  surgery*
Medulla Oblongata / blood supply*
Middle Aged
Subarachnoid Hemorrhage / etiology,  pathology*,  surgery
Vertebral Artery / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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