Thrombosed posterior inferior cerebellar artery aneurysm mimicking a medulla oblongata cavernous malformation: 2-dimensional operative video

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dc.authorscopusidAbuzer Güngör / 54895233300
dc.authorwosidAbuzer Güngör / KNR-5035-2024
dc.contributor.authorDoğruel, Yücel
dc.contributor.authorRahmanov, Serdar
dc.contributor.authorGüngör, Abuzer
dc.contributor.authorTüre, Uğur
dc.date.accessioned2025-04-16T13:36:35Z
dc.date.available2025-04-16T13:36:35Z
dc.date.issued2024
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractThe incidence of posterior inferior cerebellar artery (PICA) aneurysms is estimated to be between 0.5% and 3% of total aneurysm cases.(1) Most patients with these aneurysms typically present with subarachnoid hemorrhage, although there are instances in which patients may present with symptoms resulting from mass effect exerted on the brain stem or lower cranial nerves.(1,2) Treatment options for PICA aneurysms include endovascular procedures, surgical clipping, or bypass techniques.(2) Surgical treatment is considered more effective for partially thrombosed aneurysms compared with endovascular approaches.(3) In addition, endovascular coiling of these aneurysms carries the potential risk of coilmigration and subsequent reopening of the aneurysm lumen.(4) In certain instances, thrombosed PICA aneurysms have the potential to simulate the radiological characteristics of alternative pathologies, such as cavernous malformations or brainstem tumors.(5-7) This situation can result in misdiagnosis and inappropriate management. We present the case of a patient who exhibited symptoms of imbalance and dysfunction in the lower cranial nerves. Magnetic resonance imaging findings indicated a possible cavernous malformation in the medulla oblongata. However, further investigation revealed that the underlying cause was a thrombosed PICA aneurysm. The patient was successfully treated through surgical clipping.
dc.identifier.citationDoğruel, Y., Rahmanov, S., Güngör, A., & Türe, U. (2024). In Reply: Thrombosed Posterior Inferior Cerebellar Artery Aneurysm Mimicking a Medulla Oblongata Cavernous Malformation: 2-Dimensional Operative Video. Operative Neurosurgery, 27(3), 405.
dc.identifier.doi10.1227/ons.0000000000001077
dc.identifier.endpage127
dc.identifier.issn2332-4252
dc.identifier.issn2332-4260
dc.identifier.issue1
dc.identifier.pmid38295399
dc.identifier.scopus2-s2.0-85201655302
dc.identifier.scopusqualityQ2
dc.identifier.startpage127
dc.identifier.urihttp://dx.doi.org/10.1227/ons.0000000000001077
dc.identifier.urihttps://hdl.handle.net/20.500.12713/6030
dc.identifier.volume27
dc.identifier.wosWOS:001281737000004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGüngör, Abuzer
dc.institutionauthoridAbuzer Güngör / 0000-0002-2792-7610
dc.language.isoen
dc.publisherLippincott williams & wilkins
dc.relation.ispartofOperative neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAneurysm
dc.subjectCavernoma
dc.subjectCavernous Malformation
dc.subjectClipping
dc.subjectMisdiagnosis
dc.subjectPICA
dc.titleThrombosed posterior inferior cerebellar artery aneurysm mimicking a medulla oblongata cavernous malformation: 2-dimensional operative video
dc.typeArticle

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