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Extracranial aneurysm of the distal PICA presenting as isolated fourth ventricular hemorrhage: case report and literature review

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Abstract

Background

Posterior inferior cerebellar artery (PICA) aneurysms are relatively uncommon, comprising only 0.5–3% of all intracranial aneurysms. Distal PICA aneurysms are much more uncommon, with more than 200 cases being reported in the literature. The finding of an extracranially located aneurysm of distal PICA is considered a true rarity.

Methods and discussion

A rare case of extracranially located PICA aneurysm presenting with isolated fourth ventricular hemorrhage is presented and the diagnostic and therapeutic challenges discussed.

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References

  1. Abrahams JM, Arle JE, Hurst RW, Flamm ES (2000) Extracranial aneurysms of the posterior inferior cerebellar artery. Cerebrovasc Dis 10(6):466–470. doi:10.1159/000016109

    Article  CAS  PubMed  Google Scholar 

  2. Alliez B, Du Lac P, Trabulsi R (1990) Extracranial aneurysms of posterior inferior cerebellar artery: a case report. Neurochirurgie 36:137–140

    CAS  PubMed  Google Scholar 

  3. Ashley WW Jr, Chicoine MR (2005) 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(2):356–360

    Article  PubMed  Google Scholar 

  4. Chen CJ, Chen ST (1997) Extracranial distal aneurysm of posterior inferior cerebellar artery. Neuroradiology 39(5):344–347. doi:10.1007/s002340050420

    Article  CAS  PubMed  Google Scholar 

  5. Fakhr Tabatabai SA, Zeinali Zadeh M, Tayebi Meybodi A, Hashemi M (2007) Extracranial aneurysm of the posterior inferior cerebellar artery with an aberrant origin: case report. Neurosurgery 61(5):E1097–E1098. doi:10.1227/01.neu.0000303206.92617.07

    Article  Google Scholar 

  6. Gokduman CA, Iplikcioglu AC, Hatipoglu A, Kaya S (2007) Extracranial aneurysm of posterior inferior cerebellar artery. J Clin Neurosci 14:1220–1222. doi:10.1016/j.jocn.2006.09.014

    Article  PubMed  Google Scholar 

  7. Hirschfeld A, Flamm ES (1981) Extracranial aneurysm arising from the posterior inferior cerebellar artery. Case report. J Neurosurg 54(4):537–539

    Article  CAS  PubMed  Google Scholar 

  8. Hoffman EP, Kooiker JC (1981) Extracranial PICA aneurysms. J Neurosurg 55(3):497

    CAS  PubMed  Google Scholar 

  9. Horiuchi T, Tanaka Y, Hongo K, Nitta J, Kusano Y, Kobayashi S (2003) Characteristics of distal posteroinferior cerebellar artery aneurysms. Neurosurgery 53(3):589–595. doi:10.1227/01.NEU.0000079493.50657.1D discussion 595–596

    Article  PubMed  Google Scholar 

  10. Ito K, Tanaka Y, Kakizawa Y, Hongo K, Kobayashi K (2003) Aneurysm at the posterior inferior cerebellar artery of extradural origin for preoperative evaluation of safe clipping: case report and review of the literature. Surg Neurol 60:329–333. doi:10.1016/S0090-3019(03) 00188-5

    Article  PubMed  Google Scholar 

  11. Li XE, Wang YY, Li G, Jia DZ et al (2008) Clinical presentation and treatment of the distal posterior inferior cerebellar artery aneurysms: report on 5 cases. Surg Neurol 70(4):425–430. doi:10.1016/j.surneu.2007.04.017

    Article  PubMed  Google Scholar 

  12. Lin CF, Hsu SP, Chen MT, Chen HH et al (2007) Posterior inferior cerebellar artery with extracranial origin harboring an extracranial aneurysm. Surg Neurol 68:64–67. doi:10.1016/j.surneu.2007.08.025

    Article  Google Scholar 

  13. Orakcioglu B, Schuknecht B, Otani N, Khan N et al (2005) Distal posterior inferior cerebellar artery aneurysms: clinical characteristics and surgical management. Acta Neurochir (Wien) 147:1131–1139. doi:10.1007/s00701-005-0599-y

    Article  CAS  Google Scholar 

  14. Peerless SJ, Hernesniemi JA, Gutman FB, Drake CG (1994) Early surgery for ruptured vertebrobasilar aneurysms. J Neurosurg 80:643–649

    Article  CAS  PubMed  Google Scholar 

  15. Peluso JP, van Rooij WJ, Sluzewski M, Beute GN, Majoie CB (2008) Posterior inferior cerebellar artery aneurysms: incidence, clinical presentation, and outcome of endovascular treatment. AJNR Am J Neuroradiol 29:86–90. doi:10.3174/ajnr.A0758

    Article  CAS  PubMed  Google Scholar 

  16. Rhoton AL Jr (2000) The cerebellar arteries. Neurosurgery 47 [Suppl]:S29–S68. doi:10.1097/00006123-200009001-00010

    Article  PubMed  Google Scholar 

  17. Ruelle A, Cavazzani P, Andrioli G (1988) Extracranial posterior inferior cerebellar artery aneurysm causing isolated intraventricular hemorrhage: a case report. Neurosurgery 23(6):774–777. doi:10.1097/00006123-198812000-00020

    Article  CAS  PubMed  Google Scholar 

  18. Stoodley MA, Hermann C, Weir BK (2000) Extradural origin of the posterior inferior cerebellar artery with an associated aneurysm. Case illustration. J Neurosurg 93:899

    Article  CAS  PubMed  Google Scholar 

  19. Tanaka A, Kimura M, Yoshinaga S, Tomonaga M (1993) Extracranial aneurysm of the posterior inferior cerebellar artery: case report. Neurosurgery 33(4):742–744. doi:10.1097/00006123-199310000-00028 discussion 744–5

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Maysam Alimohamadi.

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Shirani, M., Abdoli, A., Alimohamadi, M. et al. Extracranial aneurysm of the distal PICA presenting as isolated fourth ventricular hemorrhage: case report and literature review. Acta Neurochir 152, 699–702 (2010). https://doi.org/10.1007/s00701-009-0397-z

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  • DOI: https://doi.org/10.1007/s00701-009-0397-z

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