Excision and End-to-end Anastomosis of a Fusiform Aneurysm of the Distal Posterior Inferior Cerebellar Artery Associated with Ischemia —Case Report—

Akira IKEDA; Tsutomu YAMAGUCHI; Tsuyoshi YAMAGUCHI; Isao YAMAMOTO; Osamu SATO

doi:10.2176/nmc.31.351

Excision and End-to-end Anastomosis of a Fusiform Aneurysm of the Distal Posterior Inferior Cerebellar Artery Associated with Ischemia

—Case Report—

Akira IKEDA, Tsutomu YAMAGUCHI, Tsuyoshi YAMAGUCHI, Isao YAMAMOTO, Osamu SATO

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Keywords: arterial reconstruction, cerebral aneurysm, cerebral embolism, cerebral ischemia, end-to-end anastomosis, posterior inferior cerebellar artery

JOURNAL FREE ACCESS

1991 Volume 31 Issue 6 Pages 351-355

DOI https://doi.org/10.2176/nmc.31.351

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Abstract

A 35-year-old male with a sudden onset of severe vertigo and vomiting had a fusiform aneurysm of the distal portion of the left posterior inferior cerebellar artery. The symptoms were caused by cerebellar infarction probably due to an embolism from the aneurysm. The aneurysm was excised and the artery reconstructed by end-to-end anastomosis with an excellent outcome. Histological examinations showed mural thrombus but no wall dissection.

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