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논문 기본 정보

자료유형
학술저널
저자정보
Dahl Rasmus Holmboe (Department of Radiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark) Horn Jr Gary Lloyd (Department of Radiology, Baylor College of Medicine, Houston, TX, USA) Metwalli Zeyad (Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA) Gopinath Shankar Prakash (Department of Neurosurgery, Baylor College of Medicine, Houston, TX, USA) Benndorf Goetz (Department of Radiology, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark)
저널정보
대한신경중재치료의학회 Neurointervention Neurointervention Vol.19 No.2
발행연도
2024.7
수록면
129 - 134 (6page)
DOI
https://doi.org/10.5469/neuroint.2024.00136

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Extracranial vascular pathology uncommonly causes intracranial subarachnoid hemorrhage (SAH). Among possible lesions are aneurysms at the craniocervical junction arising from a posterior inferior cerebellar artery (PICA) with an extradural origin. We describe a case of a 55-year-old female presenting with a sudden and severe headache. A computed tomography scan revealed a SAH within the fourth ventricle and cervical spinal canal, and a ruptured saccular aneurysm on a PICA with extradural C2-origin. Despite difficult access anatomy, endovascular treatment was feasible and resulted in subtotal initial occlusion and preservation of distal PICA flow. Upon 3-month follow-up, the aneurysm was completely occluded with a patent PICA. The patient’s clinical status remained stable at the 1.5-year follow-up. In conclusion, we present a rare case of an aneurysm originating from a PICA with extradural C2-origin that was treated endovascularly with preservation of the PICA.

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