Surgical Clipping of a Ruptured Posterior Inferior Cerebellar Artery Aneurysm

Authors

M. Yashar S. KalaniFollow
Peter Nakaji, Barrow Neurological InstituteFollow
Joseph M. Zabramski, Barrow Neurological InstituteFollow
Robert F. Spetzler, Barrow Neurological InstituteFollow

Department

neurosurgery

Document Type

Article

Abstract

Posterior circulation aneurysms are commonly treated with endovascular techniques. In select cases, microsurgery remains an essential tool for treating these lesions. We present a case of a ruptured posterior inferior cerebellar artery (PICA) aneurysm approached via a craniotomy. Given the labyrinth of neurovascular bundles present in the posterior fossa, surgical exposure of PICA aneurysms can be challenging. This video demonstrates the steps of the craniotomy, subarachnoid dissection, mobilization of the vertebral artery and lower cranial nerves, and clipping of the aneurysm.

Publication Date

2015

Publication Title

Neurosurgical Focus

ISSN

1092-0684

Volume

38

Digital Object Identifier (DOI)

10.3171/2015.V1.FOCUS14554

Recommended Citation

Kalani, M. Yashar S.; Nakaji, Peter; Zabramski, Joseph M.; and Spetzler, Robert F., "Surgical Clipping of a Ruptured Posterior Inferior Cerebellar Artery Aneurysm" (2015). Neurosurgery. 406.
https://scholar.barrowneuro.org/neurosurgery/406