title: [Case of ruptured superior cerebellar artery dissection treated by endovascular embolization].
abstract: The authors herein report a case of a ruptured dissection of the superior cerebellar artery (SCA). A 68-year-old man presented with symptons of sudden headache and nausea. The CT scan revealed the presence of both a subarachnoid hemorrhage (SAH) and acute hydrocephalus. The left vertebral angiogram showed an fusiform dilatation in the cerebellomesencephalic segment of the left SCA. Endovascular embolization of the aneurysm and SCA was successfully performed using Guglielmi detachable coils (GDCs). No delayed ischemic deficits were observed after the treatment. A dissection of the distal segment of the SCA is a very rare occurrence. We believe endovascular embolization using GDCs to be an effective and less invasive therapy for the treatment of an SCA dissection with SAH.
authors.affiliation: Fukuoka University, Chikushi Hospital, 1-1-1 Zokumyouin, Chikushino-shi, Fukuoka 818-8502, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Iko
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Kazekawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Aikawa
authors.forename: Masanari
authors.initials: M
authors.lastname: Onizuka
authors.forename: Akira
authors.initials: A
authors.lastname: Tanaka
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000150:complications / Q000628:therapy*; D002531:Cerebellum / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000628:therapy*; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome