Posteroinferior cerebellar artery aneurysms: Surgical results for 38 patients

Michael Horowitz, Thomas Kopitnik, Frazier Landreneau, John Krummerman, H. Hunt Batjer, Geraldine Thomas, Duke Samson

Research output: Contribution to journalArticle

71 Scopus citations

Abstract

OBJECTIVE: Posteroinferior cerebellar artery aneurysms have an incidence of approximately 0.49%. Reports in the literature are sparse concerning outcomes in this patient population. We report our results for 38 consecutive patients who were treated during the last 6.5 years. METHODS: All patients (n = 38) with posteroinferior cerebellar artery aneurysms that were surgically treated at Zale-Lipshy University Hospital between January 1990 and May 1997 were retrospectively reviewed. Data were collected and analyzed relating to demographics, condition at presentation, lesion characteristics, associated medical problems, postsurgical complications, and outcome. RESULTS: Sixty- six percent of the patients (n = 25) experienced neurological sequelae, which included symptomatic vasospasm, hydrocephalus, dysarthria, paresis, diplopia, ataxia, and facial paralysis. Many, however, showed significant improvement during their hospitalization and during the course of the ensuing year. Seventy-four percent of the patients had a Glasgow Outcome Scale score of 1 or 2 at the time of discharge, 91% at 6 months after surgery, and 89% at 1 year after surgery. CONCLUSION: This review summarizes the presentations and outcomes of 38 consecutive surgical cases during a 6.5-year period and concludes that posteroinferior cerebellar artery aneurysms are not benign entities. The study does, however, also demonstrate that patients have significant recuperative potential after the treatment of these lesions.

Original languageEnglish (US)
Pages (from-to)1026-1031
Number of pages6
JournalNeurosurgery
Volume43
Issue number5
DOIs
StatePublished - Nov 1 1998

Keywords

  • Aneurysm
  • Outcome
  • PICA

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Horowitz, M., Kopitnik, T., Landreneau, F., Krummerman, J., Batjer, H. H., Thomas, G., & Samson, D. (1998). Posteroinferior cerebellar artery aneurysms: Surgical results for 38 patients. Neurosurgery, 43(5), 1026-1031. https://doi.org/10.1097/00006123-199811000-00012