J Korean Neurosurg Soc.
2005 Sep;38(3):231-233.
Proximal Coil Occlusion for Dissecting Aneurysm of the Proximal Posterior Inferior Cerebellar Artery
- Affiliations
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- 1Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. hanibalkms@hanmail.net
- 2Department of Neurosurgery, Cheongju Saint Mary's Hospital, Cheongju, Korea.
- 3Department of Diagnostic Radiology, Cheongju Saint Mary's Hospital, Cheongju, Korea.
Abstract
- Here we report a case of ruptured dissecting aneurysm of the posterior inferior cerebellar artery(PICA) treated with proximal PICA coil occlusion using an endovascular technique. A 28-year-old man presented with acute severe headache and vomiting followed by seizure. At admission, he was drowsy, with diplopia and right ankle hypesthesia. Computed tomographic scans demonstrated a subarachnoid hemorrhage. Cerebral angiography demonstrated a dissecting aneurysm of the left proximal PICA. One day after the bleeding episode, he was undergone proximal PICA coil occlusion using an endovascular technique. The patient's postoperative course was uneventful. The decision that led to the choice of treatment is discussed.
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