Coil embolization of a ruptured aneurysm of the posterior inferior cerebellar artery associated with persistent primitive hypoglossal artery

Abstract

Objective: We present a case of ruptured aneurysm of the posterior inferior cerebellar artery associated with persistent primitive hypoglossal artery.
Case presentation: A 42-year-old female presented with a subarachnoid hemorrhage. Coil embolization of the saccular portion of the aneurysm through a persistent primitive hypoglossal artery brought about a good clinical outcome.
Conclusion: It is reasonable to occlude only the saccular portion of the aneurysm to prevent rebleeding. Further studies are needed to confirm the phylogenetic background of the aneurysm.