This site uses cookies, tags, and tracking settings to store information that help give you the very best browsing experience. Dismiss this warning

Posterior inferior to posterior inferior cerebellar artery anastomosis combined with trapping for vertebral artery aneurysm

Case report

James I. Ausman Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan; Department of Neurosurgery, The University of Chicago, Chicago, Illinois; The Neuroscience Institute of SantaFe, SantaFe Healthcare Systems, Inc., Gainesville, Florida; and Arnett Clinic, Lafayette, Indiana

Search for other papers by James I. Ausman in
Current site
Google Scholar
PubMed Close
 M.D., Ph.D.
,
Fernando G. Diaz Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan; Department of Neurosurgery, The University of Chicago, Chicago, Illinois; The Neuroscience Institute of SantaFe, SantaFe Healthcare Systems, Inc., Gainesville, Florida; and Arnett Clinic, Lafayette, Indiana

Search for other papers by Fernando G. Diaz in
Current site
Google Scholar
PubMed Close
 M.D., Ph.D.
,
Sean Mullan Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan; Department of Neurosurgery, The University of Chicago, Chicago, Illinois; The Neuroscience Institute of SantaFe, SantaFe Healthcare Systems, Inc., Gainesville, Florida; and Arnett Clinic, Lafayette, Indiana

Search for other papers by Sean Mullan in
Current site
Google Scholar
PubMed Close
 M.D.
,
Randy Gehring Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan; Department of Neurosurgery, The University of Chicago, Chicago, Illinois; The Neuroscience Institute of SantaFe, SantaFe Healthcare Systems, Inc., Gainesville, Florida; and Arnett Clinic, Lafayette, Indiana

Search for other papers by Randy Gehring in
Current site
Google Scholar
PubMed Close
 M.D.
,
Balaji Sadasivan Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan; Department of Neurosurgery, The University of Chicago, Chicago, Illinois; The Neuroscience Institute of SantaFe, SantaFe Healthcare Systems, Inc., Gainesville, Florida; and Arnett Clinic, Lafayette, Indiana

Search for other papers by Balaji Sadasivan in
Current site
Google Scholar
PubMed Close
 M.B.,B.S., F.R.C.S.
, and
Manuel Dujovny Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan; Department of Neurosurgery, The University of Chicago, Chicago, Illinois; The Neuroscience Institute of SantaFe, SantaFe Healthcare Systems, Inc., Gainesville, Florida; and Arnett Clinic, Lafayette, Indiana

Search for other papers by Manuel Dujovny in
Current site
Google Scholar
PubMed Close
 M.D.
Page Range:
462–465
Volume/Issue:
Volume 73: Issue 3
DOI link:
https://doi.org/10.3171/jns.1990.73.3.0462
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $536.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $636.00
Click here for subscription options

  • Purchase Now

    USD  $45.00

  • JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

    USD  $536.00

  • JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

    USD  $636.00
USD  $45.00
USD  $536.00
USD  $636.00
Print or Print + Online Sign in

✓ A case is presented in which a giant intracranial vertebral artery aneurysm gave rise to an associated ipsilateral posterior inferior cerebellar artery (PICA) from its waist. Proximal vertebral artery ligation at C-1 was achieved. The aneurysm filled from the opposite vertebrobasilar junction. Direct intracranial trapping of the right vertebral aneurysm was followed by successful anastomosis of the proximally sectioned right PICA to the adjacent left PICA in an end-to-end fashion.

  • Collapse
  • Expand
Volume 73: Issue 3

Contributor Notes

Address reprint requests to: James I. Ausman, M.D., Ph.D., Henry Ford Neurosurgical Institute, Department of Neurological Surgery, Henry Ford Hospital Division, 2799 West Grand Boulevard, Detroit, Michigan 48202.
  • 1.

    Beck DW, , Boarini DJ, & Kassell NF: Surgical treatment of giant aneurysm of vertebral-basilar junction. Surg Neurol 12:283–285, 1979 Beck DW, Boarini DJ, Kassell NF: Surgical treatment of giant aneurysm of vertebral-basilar junction. Surg Neurol 12:283–285, 1979

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Berenstein A, , Ransohoff J, & Kupersmith M, et al: Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. Surg Neurol 21:3–12, 1984 Berenstein A, Ransohoff J, Kupersmith M, et al: Transvascular treatment of giant aneurysms of the cavernous carotid and vertebral arteries. Functional investigation and embolization. Surg Neurol 21:3–12, 1984

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Cabezudo Artero J, , Ausman JI, & Duvovny M, et al: Middle cerebral artery reconstruction. Surg Neurol 24:5–11, 1985 Cabezudo Artero J, Ausman JI, Duvovny M, et al: Middle cerebral artery reconstruction. Surg Neurol 24:5–11, 1985

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Dolenc V: End-to-end suture of the posterior inferior cerebellar artery after the excision of a large aneurysm: case report. Neurosurgery 11:690–693, 1982 Dolenc V: End-to-end suture of the posterior inferior cerebellar artery after the excision of a large aneurysm: case report. Neurosurgery 11:690–693, 1982

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Drake CG: Giant intracranial aneurysms: experience with surgical treatment in 171 patients. Clin Neurosurg 26:12–95, 1979 Drake CG: Giant intracranial aneurysms: experience with surgical treatment in 171 patients. Clin Neurosurg 26:12–95, 1979

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Drake CG: Ligation of the vertebral (unilateral or bilateral) or basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43:255–274, 1975 Drake CG: Ligation of the vertebral (unilateral or bilateral) or basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43:255–274, 1975

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Drake CG: The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26:96–144, 1979 Drake CG: The treatment of aneurysms of the posterior circulation. Clin Neurosurg 26:96–144, 1979

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Gallagher JP: Pilojection for intracranial aneurysms. Report of progress. J Neurosurg 21:129–134, 1964 Gallagher JP: Pilojection for intracranial aneurysms. Report of progress. J Neurosurg 21:129–134, 1964

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Mullan S, , Reyes C, & Dawley J, et al: Stereotactic copper electric thrombosis of intracranial aneurysms. Prog Neurol Surg 3:193–211, 1969 Mullan S, Reyes C, Dawley J, et al: Stereotactic copper electric thrombosis of intracranial aneurysms. Prog Neurol Surg 3:193–211, 1969

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Shrontz CE, , Dujovny M, & Diaz FG, et al: Arterial anatomy and revascularization of vertebrobasilar circulation, in Wood JH (ed): Cerebral Blood Flow. New York: McGraw-Hill, 1987, pp 715–739 Shrontz CE, Dujovny M, Diaz FG, et al: Arterial anatomy and revascularization of vertebrobasilar circulation, in Wood JH (ed): Cerebral Blood Flow. New York: McGraw-Hill, 1987, pp 715–739

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Smith RW, & Alksne JF: Stereotaxic thrombosis of inaccessible intracranial aneurysms. J Neurosurg 47:833–839, 1977 Smith RW, Alksne JF: Stereotaxic thrombosis of inaccessible intracranial aneurysms. J Neurosurg 47:833–839, 1977

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Spetzler RF, & Nehls DG: Cerebral protection against ischemia, in Wood JH (ed): Cerebral Blood Flow. New York: McGraw-Hill, 1987, pp 651–676 Spetzler RF, Nehls DG: Cerebral protection against ischemia, in Wood JH (ed): Cerebral Blood Flow. New York: McGraw-Hill, 1987, pp 651–676

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Yamada K, , Hayakawa T, & Ushio Y, et al: Therapeutic occlusion of the vertebral artery for unclippable vertebral aneurysm: relationship between site of occlusion and clinical outcome. Neurosurgery 15:834–838, 1984 Yamada K, Hayakawa T, Ushio Y, et al: Therapeutic occlusion of the vertebral artery for unclippable vertebral aneurysm: relationship between site of occlusion and clinical outcome. Neurosurgery 15:834–838, 1984

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Yokoh A, , Ausman JI, & Dujovny M, et al: Anterior cerebral artery reconstruction. Neurosurgery 19:26–35, 1986 Yokoh A, Ausman JI, Dujovny M, et al: Anterior cerebral artery reconstruction. Neurosurgery 19:26–35, 1986

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 505 47 3
Full Text Views 208 31 1
PDF Downloads 121 7 1
EPUB Downloads 0 0 0