title: [Ruptured Dissecting Distal Superior Cerebellar Artery Aneurysm Successfully Treated with Coil Embolization: A Case Report].
abstract: BACKGROUND
  Ruptured dissecting superior cerebellar artery aneurysms are rare, and only 12 cases have been reported. We report a case of dissecting aneurysm of the distal superior cerebellar artery presenting with subarachnoid hemorrhage.
  
  
  METHODS
  An 80-year-old man presented with a three-day history of headache and diplopia. CT revealed slight subarachnoid hemorrhage and CT angiography demonstrated a dissecting aneurysm located in the distal portion of the left superior cerebellar artery. Initially, we chose conservative therapy. Ten days later, the patient became drowsy. Repeat CT showed that the amount of the subarachnoid hematoma increased and the aneurysm enlarged. Emergent endovascular coil embolization with parent artery occlusion was performed successfully. Postoperative MRI revealed no infarction in the cerebellum or brain stem. Delayed ischemic deficits were not observed after treatment.
  
  
  CONCLUSIONS
  Endovascular parent artery occlusion of the distal superior cerebellar artery is an effective method with low morbidity for treatment of ruptured dissecting distal superior cerebellar artery aneurysms.
authors.affiliation: Department of Neurosurgery, Toyonaka Municipal Hospital.
authors.forename: Masami
authors.initials: M
authors.lastname: Nishio
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Yano
authors.forename: Eisaku
authors.initials: E
authors.lastname: Terada
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000209:etiology / Q000601:surgery*; D002539:Cerebral Arterial Diseases / Q000150:complications / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery*; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000209:etiology