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An Unusual Case of a Thrombosed Giant Distal PICA Aneurysm Simulating a LargeCavernous Angioma

A 64-year-old woman was referred to our hospital with a one-month history of progressive headache. Magnetic resonance imaging (MRI) showed a hemorrhagic mass adjacent to the left inferior cerebellar hemisphere associated with a peripheral rim of signal void. Angiography demonstrated an avascular mas...

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Bibliographic Details
Published in:Journal of Korean Neurosurgical Society 2008, 43(3), , pp.155-158
Main Authors: Dong-Ho Lim, 정신, 정태영, 김태선
Format: Article
Language:English
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Summary:A 64-year-old woman was referred to our hospital with a one-month history of progressive headache. Magnetic resonance imaging (MRI) showed a hemorrhagic mass adjacent to the left inferior cerebellar hemisphere associated with a peripheral rim of signal void. Angiography demonstrated an avascular mass and the provisional diagnosis was a large cavernous angioma in the cerebellum. Intraoperative findings revealed a thrombosed giant aneurysm of the left distal posterior inferior cerebellar artery (PICA). We report an unusual case of a completely thrombosed giant aneurysm simulating a large cavernous angioma in the cerebellum. The cerebellar cisternal location of the mass may be a clue for the pre-operative diagnosis of an aneurysm. KCI Citation Count: 3
ISSN:2005-3711
1598-7876