Peripheral aneurysms of the superior cerebellar artery are considered difficult to treat surgically and endovascularly because of their inaccessibility. Parent artery occlusion is therefore frequently the preferred method. Embolic materials previously reported in this situation are either GDC coils or a polymerizing agent (n-BCA). We report a patient with two distally located, wide-neck aneurysms of the right superior cerebellar artery who presented with hemorrhage and was treated by endovascular embolization of the parent artery using a combination of GDC coils and n-BCA.
YoshimotoTKayamaT: Distribution of intracranial aneurysm. In: SuzukiJ, ed. Cerebral Aneurysms Neuron. Tokyo, Japan, 1979: 14–19.
2.
LocksleyHB: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage, section V, part 1: natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations: based on 6368 cases in the cooperative study. J Neurosurg58: 350–352, 1983.
3.
ChaloupkaJPutmanC: Endovascular therapeutic approach to peripheral aneurysms of the superior cerebellar artery. Am J Neuroradiol17: 1338–1342, 1996.
4.
CognardCWeilA: Treatment of distal aneurysms of the cerebellar arteries by intraaneurysmal injection of glue. Am J Neuroradiol20: 780–784, 1999.
5.
DanetMRaymondJ: Distal superior cerebellar artery aneurysm presenting with cerebellar infarction: report of two cases. Am J Neuroradiol22: 717–720, 2001.
6.
AgostinisCCaveriL: Paralysis of the fourth cranial nerve due to SCA aneurysm. Neurology42: 457–458, 1992.
7.
SchevinkWIWijdicksEF. The poor prognosis of ruptured intracranial aneurysms of posterior circulation. J Neurosurg85: 791–795, 1995.
8.
GacsGVinuelaF: Peripheral aneurysms of the cerebellar arteries. J Neurosurg58: 63–68, 1986.
9.
MabuchiSKamiyamaH: Istal aneurysms of superior cerebellar artery and posterior cerebellar artery feeding an associated arteriovenous malformation: case report. Neurosurgery30: 284–287, 1992.
10.
BozbogaMCanbolatA: Aneurysm arising from the medial branch of the superior cerebellar artery. Acta Neurochir138: 1913–1914, 1996.
11.
AndohTItohT: Peripheral aneurysms of the posterior inferior cerebellar artery: analysis of 15 cases. No Shinkei Geka20: 683–690, 1992.
12.
SpalloneADe SantisS: Peripheral aneurysms of anterior inferior cerebellar artery: case report and review of literature. Br J Neurosurgery38: 339–347, 1995.
FeryDJKempeLG: False aneurysm secondary to penetration of the brain through orbitalfacial wounds. J Neurosurg36: 503–506, 1972.
15.
TakahashiM: Atlas of vertebral angiography. Baltimore, Md: University Park Press; 1973: 43.
16.
LeonardiMSimonettiL: Endovascular treatment of distal aneurysm of SCA by intra-aneurysmal injection of glue. Interventional Neuororadiology7: 343–348, 2001.
17.
EckardDAO'BoynickPL: Coil occlusion of the parent artery for treatment of symptomatic peripheral intracranial aneurysms. Am J Neuroradiol21: 137–142, 2000.
