Posteroinferior cerebellar artery aneurysms: surgical results for 38 patients

• Published in: Neurosurgery Vol. 43; no. 5; p. 1026
• Main Authors: Horowitz, M, Kopitnik, T, Landreneau, F, Krummerman, J, Batjer, H H, Thomas, G, Samson, D
• Format: Journal Article
• Language: English
• Published: United States 01.11.1998
• Subjects: Adult; Aged; Arteries - surgery; Cerebellum - blood supply; Female; Follow-Up Studies; Glasgow Coma Scale; Humans; Intracranial Aneurysm - diagnostic imaging; Intracranial Aneurysm - surgery; Male; Middle Aged; Neurologic Examination; Postoperative Complications - diagnostic imaging; Radiography; Retrospective Studies; Treatment Outcome
• ISSN: 0148-396X
• DOI: 10.1097/00006123-199811000-00012

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. 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. 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. 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.