Basilar Anterior Inferior Cerebellar Artery Aneurysms: 41 Patients

  • Charles G. Drake
  • Sydney J. Peerless
  • Juha A. Hernesniemi


Basilar anterior-inferior cerebellar artery (AICA) aneurysms are rare lesions: detection and treatment of one single aneurysm has been reported only in recent years. In 1989, Kamii described 1 personal case and collected 33 cases in the literature. One year later with another personal, Russegger was able to find 26 cases in the literature. The first case done in our series in 1963 was described in detail (Case 10, G.Mc., cf. Chapter 9, p. 119).


Basilar Artery Petrous Bone Middle Fossa Facial Nerve Paresis Silk Ligature 
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  1. 1.
    Abe M, Uetsuki T: Clinico-pathological study of diseases of the central nervous system. VII. Autopsied case of a large aneurysm in the left anterior inferior cerebellar artery. No To Shinkei 20: 933–939, 1968PubMedGoogle Scholar
  2. 2.
    Crockard HA, Koksel T, Watkin N: Transoral transclival clipping of anterior inferior cerebellar artery aneurysm using new rotating applier. Technical note. J Neurosurg 75: 483–485, 1991PubMedCrossRefGoogle Scholar
  3. 3.
    Drake CG: Surgical treatment of ruptured aneurysms of the basilar artery. Experience with 14 cases. J Neurosurg 23: 457–473, 1965PubMedCrossRefGoogle Scholar
  4. 4.
    Drake CG: The surgical treatment of vertebral-basilar aneurysms. Clin Neurosurg 16: 114–69, 1969PubMedGoogle Scholar
  5. 5.
    Drake CG: Management of aneurysms of the posterior circulation. In: Youmans JR (ed) Neurological surgery, 1st ed, vol 2. Philadelphia: Saunders, 1973, pp 787–806Google Scholar
  6. 6.
    Drake CG: Ligation of the vertebral (unilateral or bilateral) or the basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43: 255–274, 1975PubMedCrossRefGoogle Scholar
  7. 7.
    Drake CG: Giant intracranial aneurysms: Experience with surgical treatment in 174 patients. Clin Neurosurg 26: 12–95, 1979PubMedGoogle Scholar
  8. 8.
    Drake CG: The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26: 96–144, 1979PubMedGoogle Scholar
  9. 9.
    Drake CG, Friedman AH, Peerless SJ: Failed aneurysm surgery. Reoperation in 115 cases. J Neurosurg 61: 848–856, 1984PubMedCrossRefGoogle Scholar
  10. 10.
    Eguchi T, Fuchinoue T, Yahagi Y: Posterior subtemporal transtentorial approach for a lower basilar trunk aneurysm. No Shinkei Geka 7: 513–517, 1979PubMedGoogle Scholar
  11. 11.
    Fox JL: Intracranial aneurysms, vol I—III. New York, Berlin, Heidelberg, Tokyo: Springer, 1983, pp 63–117Google Scholar
  12. 12.
    Gacs G, Vinuela F, Fox AJ, Drake CG: Peripheral aneurysms of the cerebellar arteries. Review of 16 cases. J Neurosurg 58: 63–68, 1983PubMedCrossRefGoogle Scholar
  13. 13.
    Hori T, Watanabe T, Numata H,Ishii T, Teraoka A: Basilar trunk aneurysms — operative and clinical experiences of 9 cases. In: Sugita K, Shibuya M (eds) Intracranial aneurysms and arteriovenous malformations — state of art. Proceeding of the 2nd International Workshop on Intracranial Aneurysms (IWIA) IV/ 1989 Toba. Nagoya: Nagoya University Coop Press, 1990, pp 243–250Google Scholar
  14. 14.
    Johnson JH Jr, Kline DG: Anterior inferior cerebellar artery aneurysms. Case report. J Neurosurg 48: 455–460, 1978PubMedCrossRefGoogle Scholar
  15. 15.
    Kaech D, de Tribolet N, Lasjaunias P: Anterior inferior cerebellar artery aneurysm, carotid bifurcation aneurysm, and durai arteriovenous malformation of the tentorium in the same patient. Neurosurgery 21: 575–582, 1987PubMedCrossRefGoogle Scholar
  16. 16.
    Kamii H, Ogawa A, Sakurai Y, Kayama T: Anterior inferior cerebellar artery aneurysm with a sudden onset of caudal cranial nerve symptoms. No Shinkei Geka 17: 387–91, 1989PubMedGoogle Scholar
  17. 17.
    Kawase T, Toya S, Shiobara R, Mine T: Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg 63: 857–61, 1985PubMedCrossRefGoogle Scholar
  18. 18.
    Krayenbühl HA, Yasargil MG: The cerebral arteries. In: Cerebral angiography. London: Butterworths, 1968, pp 20–84Google Scholar
  19. 19.
    Marinkovic SV, Gibo H: The surgical anatomy of the perforating branches of the basilar artery. Neurosurgery 33: 80–87, 1993PubMedCrossRefGoogle Scholar
  20. 20.
    Peerless SJ, Drake CG: Posterior circulation aneurysms. In: Wilkins RH, Rengachary SS (eds) Neurosurgery. New York: McGraw-Hill, 1985, pp 1422–1437Google Scholar
  21. 21.
    Pia HW: Classification of vertebro-basilar aneurysms. Acta Neurochir (Wien) 47: 3–30, 1979CrossRefGoogle Scholar
  22. 22.
    Russegger L, Furtschegger A: Aneurysms of the anterior inferior cerebellar artery. A case report and review of the literature. Nervenarzt 61: 499–503, 1990PubMedGoogle Scholar
  23. 23.
    Santucci N, Gazzeri G, Magliocco C: Aneurysm of the anterior inferior cerebellar artery (AICA). 18th case in the literature. Riv Neurol 55: 30–37, 1985PubMedGoogle Scholar
  24. 24.
    Sugita K, Kobayashi S: Basilar trunk aneurysms. In: Kikuchi H, Fukushima T, Watanabe K (eds) Intra-cranial aneurysms. Surgical timing and techniques. Proceeding of the First International Workshop on Intracranial Aneurysms (IWIA) IV/1986 Tokyo. Tokyo: Nishimura, 1986, pp 350–352Google Scholar
  25. 25.
    Uede T, Matsumura S, Ohtaki M, Kurokawa Y, Tanabe S, Hashi K: Aneurysm of the anterior inferior cerebellar artery at the internal auditory meatus: report of two cases. No Shinkei Geka 14: 1263–1268, 1986PubMedGoogle Scholar
  26. 26.
    Yasargil MG: Vertebrobasilar aneurysms. In: Micro-neurosurgery in 4 volumes, vol II. Stuttgart, New York: Thieme, 1986, pp 232–295Google Scholar

Copyright information

© Springer-Verlag/Wien 1996

Authors and Affiliations

  • Charles G. Drake
    • 1
    • 2
  • Sydney J. Peerless
    • 2
  • Juha A. Hernesniemi
    • 3
  1. 1.Department of SurgeryUniversity of Western Ontario, University HospitalLondonCanada
  2. 2.Division of NeurosurgeryUniversity of Western Ontario, University HospitalLondonCanada
  3. 3.Department of NeurosurgeryUniversity Hospital of KuopioKuopioFinland

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