Journal of Korean Neurosurgical Society

  • 제40권5호
  • /
  • Pages.369-372
  • /
  • 2006
  • /
  • 2005-3711(pISSN)
  • /
  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

The Dissecting Aneurysm of the Posterior Inferior Cerebellar Artery with Unusual Clinical Course

  • Lee, Hyoung-Soo (Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University) ;
  • Lee, Sang-Youl (Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University) ;
  • Rhee, Woo-Tack (Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University) ;
  • Jang, Yeon-Gyu (Department of Neurosurgery, Gangneung Asan Hospital, College of Medicine, Ulsan University)
  • 발행 : 2006.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The dissecting aneurysms of the posterior cerebral circulation arise most commonly from the vertebral artery and occasionally extend to the posterior inferior cerebellar artery[PICA]. The dissecting aneurysm localized in the PICA without involving the vertebral artery is rare. We present a PICA dissecting aneurysm that had kaleidoscopic clinical course of bleeding, occlusion, and recanalization before the surgery. The patient had serial follow-up angiograms based on significant changes of clinical status. The patient successfully underwent microsurgical trapping with clips for the dissecting aneurysm and showed neurological improvement.

키워드

참고문헌

  1. Berger MS, Wilson CB : Intracranial dissecting aneurysms of the posterior circulation. Report of six cases and review of the literature. J Neurosurg 61 : 882-894, 1984 https://doi.org/10.3171/jns.1984.61.5.0882
  2. Dinichert A, Rufenacht DA, Tribolet N : Dissecting aneurysms of the posterior inferior cerebellar artery : report of four cases and review of the literature. J Clin Neurosci 7 : 515-520, 2000 https://doi.org/10.1054/jocn.2000.0757
  3. Friedman AH, Drake CG : Subarachnoid hemorrhage from intracranial dissecting aneurysm. J Neurosurg 60 : 325-334, 1984 https://doi.org/10.3171/jns.1984.60.2.0325
  4. Hosoda K, Fujita S, Kawaguchi T, Shose Y, Yonezawa K, Shirakuni T, et al : Spontaneous dissecting aneurysms of the basilar artery presenting with a subarachnoid hemorrhage. J Neurosurg 75 : 628-633, 1991 https://doi.org/10.3171/jns.1991.75.4.0628
  5. Hudgins RJ, Day AL, Quisling RG, Rhoton AL Jr, Sypert GW, Garcia-Bengochea F : Aneurysms of the posterior inferior cerebellar artery. A clinical and anatomical analysis. J Neurosurg 58 : 381-387, 1983 https://doi.org/10.3171/jns.1983.58.3.0381
  6. Jafar J, Weiner HL : Surgery for angiographically occult cerebral aneurysms. J Neurosurg 79 : 674-679, 1993 https://doi.org/10.3171/jns.1993.79.5.0674
  7. Nakagawa K, Touho H, Morisako T, Osaka Y, Tatsuzawa K, Nakae H, et al : Long-term follow-up study of unruptured vertebral artery dissection : clinical outcomes and serial angiographic findings. J Neurosurg 93 : 19-25, 2000 https://doi.org/10.3171/jns.2000.93.1.0019
  8. Pasqualin A, Da Pian R, Scienza R, Licata C : Posterior inferior cerebellar artery aneurysm in the fourth ventricle : acute surgical treatment. Surg Neurol 16 : 448-451, 1988
  9. Sorimachi T, Fujii Y, Nashimoto T, Harada A, Ito Y, Takeuchi S : Postangiographic 3D CT findings of a thrombosed dissecting aneurysm of the posterior inferior cerebellar artery. Am J Neuroradiol 25 : 973-974, 2004
  10. Wetjen NM, Link MJ, Reimer R, Nichols DA, Giannini C : Clinical presentation and surgical management of dissecting posterior inferior cerebellar artery aneurysms : 2 cases reports. Surg Neurol 64 : 462-467, 2005 https://doi.org/10.1016/j.surneu.2005.02.025
  11. Yamakawa H, Kaku Y, Yoshimura S, Ohkuma A, Sakai N : Two cases of dissecting aneurysm of the distal posterior inferior cerebellar artery :possible involvement of segmental mediolytic arteriopathy in the pathogenesis. Clin Neurol Neurosurg 107 : 117-122, 2005 https://doi.org/10.1016/j.clineuro.2004.01.007
  12. Yamaura A, Isobe K, Karasudani H, Tanaka M, Komiya H : Dissecting aneurysm of the posterior inferior cerebellar artery. Neurosurgery 28 : 894-898, 1991 https://doi.org/10.1227/00006123-199106000-00021
  13. Yamaura A, Watanabe Y, Saeki N : Dissecting aneurysms of the intracranial vertebral artery. J Neurosurg 72 : 183-188, 1990 https://doi.org/10.3171/jns.1990.72.2.0183
  14. Yamaura I, Tani E, Yokota M, Nakano A, Fukami M, Kaba K : Endovascular treatment of ruptured dissecting aneurysms aimed at occlusion of the dissected site by using Guglielmi detachable coils. J Neurosurg 90 : 853-856, 1999 https://doi.org/10.3171/jns.1999.90.5.0853
  15. Yi JS, Kim GK, Lim YJ, Kim TS, Rhee BA, Leem W : Clinical analysis and surgical treatment of vertebral aneurysm. J Korean Neurosurg Soc 26 : 101-108, 1997