Ruptured traumatic vertebral artery pseudoaneurysm in a child treated with trapping and posterior inferior cerebellar artery reimplantation. Case report and review of the literature.
The authors present the case report of a pediatric patient with a ruptured traumatic pseudoaneurysm of the intracranial vertebral artery (VA) from which the posterior inferior cerebellar artery (PICA) emerged. After considering multiple therapeutic options, the patient was treated surgically by trapping of the aneurysm segment and direct reimplantation of the PICA distal to the rupture site. In addition to presenting this unique case, the authors discuss the treatment of VA pseudoaneurysms and the various techniques for PICA revascularization. A review of the literature on PICA reimplantation is provided as an adjunct in the treatment of complex VA aneurysms.
O'Shaughnessy
Brian A
BA
Department of Neurological Surgery, The Feinberg School of Medicine, McGaw Medical Center, Children's Memorial Hospital, Northwestern University, Chicago, Illinois 60611, USA.
Getch
Christopher C
CC
Bowman
Robin M
RM
Batjer
H Hunt
HH
D000293:Adolescent; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000209:etiology*; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery*; D002531:Cerebellum / Q000098:blood supply* / Q000293:injuries*; D002533:Cerebral Angiography; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods*; D012092:Replantation / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014711:Vertebral Artery / Q000293:injuries* / Q000601:surgery*; D014948:Wounds, Gunshot