Anterior Inferior Cerebellar Aneurysm Treated by Aneurysm Resection and Intracranial Artery Anastomosis in situ: A Case Report and Literature Review.

Frontiers in Surgery
Chaojue HuangYongjia Yu

Abstract

Background: Anterior inferior cerebellar artery (AICA) aneurysms are relatively rare in clinical practice, accounting for <1% of all intracranial arteries. After the diagnosis and location are confirmed by angiography, magnetic resonance, and other imaging examinations, interventional, or surgical treatment is often used, but some complex aneurysms require reconstructive surgery. Case Description: An 8-year-old male child was admitted to the hospital due to sudden disturbance of consciousness for 2 weeks. The head CT showed hematocele in the ventricular system with subarachnoid hemorrhage in the basilar cistern and annular cistern. On admission, he was conscious, answered correctly, had a soft neck, limb muscle strength was normal, and had no cranial nerves or nervous system abnormalities. A preoperative examination showed the right side of the anterior distal arteries class under the circular wide neck aneurysm, the distal anterior inferior cerebellar artery supplying a wide range of blood to the cerebellum, the ipsilateral posterior inferior cerebellar artery absent, and the aneurysm close to the VII, VIII nerves. The aneurysm was successfully treated by aneurysm resection and intracranial artery anastomosis in situ of a2 AIC...Continue Reading

References

Feb 28, 2009·Neurologia Medico-chirurgica·Shintaro FukushimaMinoru Shigemori
May 5, 2009·Neurosurgical Focus·Nicholas C BambakidisCliff A Megerian
Oct 23, 2010·Journal of Neurosurgery·Dennis PäslerHenry W S Schroeder
May 10, 2011·Journal of Neurosurgery·Ana Rodríguez-HernándezMichael T Lawton
May 11, 2012·Neurosurgical Review·Hiroshi TokimuraKazunori Arita
Aug 4, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Xianli LvYouxiang Li
May 31, 2019·Neurosurgical Review·Gopinathan AnilTseng Tsai Yeo

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