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In our a study a giant wide–necked vertebrobasilar junctionaneurysms previously treated with endovascular detachable coils isfollowed up meticulously.The outcome was satisfactory A 52 year old manpresented with 2 year history of headache and was diagnosed aspartially thrombosed giant aneurysm at the vertebrobasilar junction oncerebral angiographic examination. The patient underwent coilembolization by inserting a detachable and hydrogel coated coilssuccessfully. He became symptom free after embolization on the nextday. But 16 months later he was readmitted with a reccurrent episode ofheadache. Subsequent cerebral angiography revealed a new baby aneurysmformation at the same level near by the neck of the previous aneurysm.Although giant vertebrobasilar junction aneurysm seems to besuccessfully blocked off initially, it should be remembered long- termfollow-up as 1,5-2 years is required to further validate the importanceof coil embolization technique.

The optimum radiographic follow-up of a giant vertebrobasilar junction aneurysm which treated with endovascular coil embolization