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Treatment strategies for saccular anterior inferior cerebellar artery aneurysms: a systematic review

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A Correction to this article was published on 05 April 2024

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Abstract

Introduction

The anterior inferior cerebellar artery (AICA) plays a crucial role in cerebellar blood supply, and AICA aneurysms are relatively rare, comprising less than 1-1.5% of all brain aneurysms. Understanding their clinical scenarios, management approaches, and outcomes is essential. This systematic review analyzes data from 86 studies to comprehensively explore AICA aneurysms.

Materials and methods

The process of obtaining relevant research, which includes patients with AICA aneurysms, was carried out using the PubMed, Web of Science, and Scopus databases. This review exclusively included extensive papers written in English. The search included the MeSH phrases “Anterior inferior cerebellar artery aneurysm” and “AICA aneurysm.” Microsurgical and endovascular treatments were compared using statistical analysis, exploring demographics, risk factors, treatment modalities, and clinical outcomes.

Results

The review includes 85 case reports and one retrospective study, totaling 140 patients. The study reveals a diverse patient profile with a slight female predominance (65%), a mean age of 50.7 years, and an 82.86% prevalence of no identified risk factors. Ruptured aneurysms accounted for 55%, with microsurgery and endovascular procedures accounting for 70.71% and 27.86%, respectively. The mortality rate was 2.86%, and no significant differences were found in rebleed, recurrence, or mortality rates between treatment groups.

Conclusion

Microsurgical and endovascular interventions demonstrate comparable effectiveness, with microsurgery showing superiority in specific situations. Therefore, tailoring treatment is crucial to individual patient needs. Subgroup analyses highlight demographic-specific trends, guiding clinicians in managing this rare pathology.

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Data availability

No datasets were generated or analysed during the current study.

Change history

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Authors and Affiliations

  1. Departemnt of Neurosurgery, Klinikum Dessau, Dessau-Roßlau, Germany

    Amr Badary

  2. Royal College of Surgeons in Ireland – Bahrain, Ireland, Bahrain

    Khadeja Alrefaie

  3. Faculty of medicine, University of Babylon, Hilla, Iraq

    Sura N. Alrubaye

  4. Department of Neurosurgery, College of Medicine, University of Baghdad, Baghdad, Iraq

    Zahraa I. Al-Anssari

  5. College of Medicine, University of Mosul, Mosul, Iraq

    Noran O. Mahmood

  6. Faculty of Medicine, Ludwig-Maximilians-Universität München, Munich, Germany

    Assma Dwebi

  7. Faculty of medicine, University of Kufa, Kufa, Iraq

    Yasser F. Almealawy

  8. Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal

    Bipin Chaurasia

  9. Department of Neurosurgery, National Institute of neurology and neurosurgery, Mexico City, Mexico

    Alan Hernández-Hernández

  10. Departemnt of Neurosurgery, Hannover Medical School, Hannover, Germany

    Oday Atallah

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Badary, A., Alrefaie, K., Alrubaye, S.N. et al. Treatment strategies for saccular anterior inferior cerebellar artery aneurysms: a systematic review. Neurosurg Rev 47, 103 (2024). https://doi.org/10.1007/s10143-024-02338-8

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  • DOI: https://doi.org/10.1007/s10143-024-02338-8

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