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Journal of Korean Neurosurgical Society > Volume 38(3); 2005 > Article
Journal of Korean Neurosurgical Society 2005;38(3): 231-233.
Proximal Coil Occlusion for Dissecting Aneurysm of the Proximal Posterior Inferior Cerebellar Artery.
Myoung Soo Kim, Su Ok Seong, Hyun Koo Lee
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.
Key Words: PICA; Dissecting aneurysm; Endovascular technique
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