title: [Treatment of unruptured saccular vertebral artery aneurysm for preservation of the parent artery for advanced age people: a case report].
abstract: A 79-year-old female was referred to our hospital presenting with occipital headache. Her unruptured aneurysm was incidentally found by magnetic resonance angiography. Three dimensional computed tomographic angiography showed a saccular aneurysm located at the junction of the left vertebral artery (VA) and posterior inferior cerebellar artery (PICA) that originated from the aneurysm itself. Firstly, surgical clipping of the left PICA just distal to the aneurysm and occipital artery (OA)-PICA bypass was carried out and, secondly, endovascular treatment was performed for preservation of the parent artery.
authors.affiliation: Department of Neurosurgery, Sasebo Chuo Hospital.
authors.forename: Toru
authors.initials: T
authors.lastname: Eto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Abe
authors.forename: Koichiro
authors.initials: K
authors.lastname: Takemoto
authors.forename: Masakazu
authors.initials: M
authors.lastname: Okawa
authors.forename: Mitsutoshi
authors.initials: M
authors.lastname: Iwaasa
authors.forename: Toshio
authors.initials: T
authors.lastname: Higashi
authors.forename: Seisaburo
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsumoto
authors.forename: Tooru
authors.initials: T
authors.lastname: Inoue
mesh_terms: D000368:Aged; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D018810:Magnetic Resonance Angiography; D014654:Vascular Patency; D014656:Vascular Surgical Procedures / Q000379:methods; D014711:Vertebral Artery