Abstract
Posterior inferior cerebellar artery (PICA) aneurysms are rare and make up 0.65%–3% of all intracranial aneurysms [11, 21]. In 1953, Rizzoli and Hayes first reported successful surgical treatment of a PICA aneurysm operated in 1947 [25]. Since then, there have been several reports on the surgical management of PICA aneurysms [6, 7, 11, 13, 15, 21]. However, as these aneurysms are rare, surgical experience with them has generally been limited. We present our experience over the past 9 years with 11 patients who underwent clipping of PICA aneurysms.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Artero JC, Ausman JI, Dujovny M, et al. (1985) Middle cerebral artery reconstruction. Surg Neurol 24:5–11
Ausman JI, Diaz FG, Dujovny M (1986) Reconstruction of the intracranial circulation. In: Kikuchi H, Fukushima T, Watanabe K (eds) Intracranial aneurysms. Nishimura, Niigata, pp 284–291
Bruce DA (1978) The pathophysiology of increased intracranial pressure. Upjohn Kalamazoo
Chou SN, Ortiz-Suarez HJ (1974) Surgical treatment of aterial aneurysms of the vertebrobasilar circulation. J Neurosurg 41:671–680
Dolenc V (1922) End-to-end suture of the posterior inferior cerebellar artery after the excision of a large aneurysm: Case report. Neurosurg 11:690–693
Drake CG (1978) Treatment of aneurysms of the posterior cranial fossa. Prog Neurol Surg 9:122–192
Drake CG, Peerless SJ (1986) Posterior circulation aneurysms. In: Kikuchi H, Fukushima T, Watanake K (eds) Intracranial aneurysms. Nishimura, Niigata, pp 336–348
Dujovny M, Charbel F, Berman SK, Diaz FG, Malik G, Ausman JI (1987) Geriatric neurosurgery. Surg Neurol 28:10–6
Gillingham FJ (1982) In: Youmans JR (ed) Neurological surgery: A comprehensive reference guide to the diagnosis and management of neurosurgical problems. WB Saunders, Philadelphia, vol. 3, pp 1715–1717
Hopkins LN, Budny JL, Castellani D (1983) Extracranial-intracranial arterial bypass and basilar artery ligation in the treatment of giant basilar artery aneurysms. Neurosurg 13:189–194
Hudgins RJ, Day AL, Quisling RG, et al. (1983) Aneurysms of the posterior inferior cerebellar artery: A clinical and anatomical analysis. J Neurosurg 58:381–387
Hunt WE, Kosnik EJ (1974) Timing and perioperative care in intracranial aneurysm surgery. Clin Neurosurg 21:79–89
Jamieson KG (1964) Aneurysms of the vertebrobasilar system. Surgical intervention in 19 cases. J Neurosurg 21:781–797
Kassell NF, Baumann KW, Hitchon PW, et al. (1981) Influence of a continuous high dose infusion of mannitol on cerebral blood flow in normal dogs. Neurosurg 9:283–286
Kempe LG (1979) Aneurysms of the vertebral artery. In: Pia HW, Langmaid C, Zierski J (eds) Cerebral aneurysms: Advances in diagnosis and therapy. Springer, Berlin, pp 119–120
Lister JR, Rhoton AL Jr, Matsushima T, et al. (1982) Microsurgical anatomy of the posterior inferior cerebellar artery. Neurosurg 10:170–199
Lyunggren B, Saveland H, Brandt L, et al. (1983) Temporary clipping during early operation for ruptured aneurysm. Preliminary report. Neurosurg 12:525–530
Locksley HB (1966) Report on the Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage. Section V, Part I. Natural history of subarachnoid hemorrhage, intracranial aneurysms’, and arteriovenous malformations. Based on 6368 cases in the cooperative study. J Neurosurg 25:219–239
Margolis MT, Newton TH (1974) The posterior inferior cerebellar artery. In: Newton TH, Potts DG (eds) Radiology of the skull and brain, vol. 2 Mosby, St. Louis, pp 1710–1774
Marshall LF (1983) Treatment of massive intraoperative brain swelling. Neurosurg 13:412–414
Pasqualin A, DaPian R, Scienza R, et al. (1981) Posterior inferior cerebellar artery aneurysm in the fourth ventricle. Acute surgical treatment. Surg Neurol 16:448–451
Rand RW, Jannetta PJ (1967) Micro-neurosurgery for aneurysms of the vertebral-basilar artery system. J Neurosurg 27:330–335
Rhoton AL Jr, Jackson FE, Gleave J, et al. (1977) Congenital and traumatic intracranial aneurysms. CIBA Clin Symp 29(4):2–40
Richardson AE (1968) The natural history of patients with intracranial aneurysms after rupture. Prog Brain Res 30:269–273
Rizzoli HV, Hayes GJ (1953) Congenital berry aneurysm of the posterior fossa. Case report with successful operative excision. J Neurosurg 10:550–551
Rothman SLG, Azarhia B, Kier EL, et al. (1973) The angiography of posterior inferior cerebellar artery aneurysms. Neurorad 6:1–7
Sahs AL, Perret GE, Locksley HB, et al. (1969) Intracranial aneurysms and subarachnoid hemorrhage: A cooperative study. Lippincott, Philadelphia
Shrontz CE, Dujovny MD, Diaz FG, et al. (1987) Arterial anatomy and revascularization of vertebrobasilar circulation. In: Woods HF (ed) Cerebral blood flow: Physiologic and clinical aspects. McGraw-Hill, New York, pp 716–719
Sekhar LN, Nelson PB (1983) A technique of clipping giant intracranial aneurysms with the preservation of the parent artery. Surg Neurol 20:361–368
Smith RR, Parent AD (1982) End-to-end anastomosis of the anterior cerebral artery after excision of a giant aneurysm. Case report. J Neurosurg 56:577–580
Sundt TM Jr, Piepgras DG, Honser OW, et al. (1982) Interposition saphenous vein grafts for advanced occlusive disease and large aneurysms in the posterior circulation. J Neurosurg 56:205–215
Suzuki J, Kwak R, Okudairo Y (1979) The safe time limit of temporary clamping of cerebral arteries in the direct surgical treatment of intracranial aneurysm under moderate hypothermia. Tohoku J Exp Med 127:1–7
Uihlein A, Hughes RA (1955) The surgical treatment of intracranial vestigial aneurysms. Surg Clin North Amer 35:1071–1083
Yamaura A, Ise H, Makino H (1981) Radiometric study on posterior inferior cerebellar aneurysms with special reference to accessibility by the lateral suboccipital approach. Neurol Med Chir 21:721–733
Yaşargil MG (1969) Reconstructive and constructive surgery of the cerebral arteries in man. In: Yaşargil MG (ed) Microsurgery applied to neurosurgery. Academic Press, New York, pp 82–119
Yaşargil MG (1984) Microneurosurgery, vol. 2 Thieme, Stuttgart
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer Japan
About this paper
Cite this paper
Ausman, J.I., Sadasivan, B., Diaz, F.G., Malik, G.M., Dujovny, M. (1988). Surgical Management of Posterior Inferior Cerebellar Artery Aneurysms. In: Suzuki, J. (eds) Advances in Surgery for Cerebral Stroke. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68314-8_7
Download citation
DOI: https://doi.org/10.1007/978-4-431-68314-8_7
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68316-2
Online ISBN: 978-4-431-68314-8
eBook Packages: Springer Book Archive