Open AccessPosterior inferior cerebellar artery aneurysm mimicking cervical myeloradiculopathy
Author(s) -
Che-Wei Hung,
Cheng-Hsing Kao,
ChaoHung Yeh
Publication year - 2012
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.1016/j.fjs.2012.01.003
Subject(s) - medicine , posterior inferior cerebellar artery , neck pain , surgery , pica (typography) , subarachnoid hemorrhage , aneurysm , coma (optics) , radiology , physics , alternative medicine , pathology , world wide web , computer science , optics
SummaryAneurysms arising from the posterior inferior cerebellar artery (PICA) are uncommon, accounting for 0.5–3% of all intracranial aneurysms. Symptoms and signs usually include subarachnoid hemorrhage, neck pain, dizziness, and coma. We describe a patient who presented with cervical myeloradiculopathy (manifested by neck, shoulder, and arm pain) and an unsteady gait whose symptoms persisted after surgery on the cervical spine. A PICA aneurysm was diagnosed incidentally when we performed computed tomography (CT) of the brain and angiography after he fell into a coma. The patient was successfully treated with endovascular therapy. We emphasize that the symptoms of a PICA aneurysm may clinically mimic cervical myeloradiculopathy, and that PICA aneurysms may thus be overlooked