case_images: PMC11301805_01
case_images: (a) Digital subtraction angiography performed 18 months post initial operation revealed the recurrence of an aneurysm situated at the telovelotonsillar segment of the posterior inferior cerebellar artery. (b) Subsequent to the reoperation, digital subtraction angiography evidenced the complete occlusion of the aneurysm, concurrently affirming the preservation of the posterior inferior cerebellar artery. (c) A three-dimensional digital subtraction angiography, conducted 6 months postoperation, disclosed the absence of any recurrence.
case_images: SNI-15-236-g001.jpg
case_images: PMC11301805_01_SNI-15-236-g001.jpg
case_images: F1
case_images: A 46-year-old female presented with a recurrent aneurysm located televelotonsillar segment of PICA at 18 months following the initial coiling procedure for subarachnoid hemorrhage [Figure 1a]. The aneurysm was occluded with four coils without any periprocedural complications, and the patency of the PICA was preserved [Figure 1b]. Follow-up digital subtraction angiography 6 months after treatment showed no evidence of recurrence, leading to the termination of clopidogrel [Figure 1c].