• AJNR Am J Neuroradiol · Apr 2012

    Case Reports

    Delayed spontaneous rupture of a posterior inferior cerebellar artery aneurysm following treatment with flow diversion: a clinicopathologic study.

    • M Chow, C McDougall, C O'Kelly, R Ashforth, E Johnson, and D Fiorella.
    • Division of Neurosurgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada. Michael.Chow@albertahealthservices.ca
    • AJNR Am J Neuroradiol. 2012 Apr 1; 33 (4): E46-51.

    AbstractIn this report, we present the fatal spontaneous delayed rupture of a previously unruptured large PICA aneurysm following treatment with the PED. Pathology at postmortem examination has supported the theory that intra-aneurysmal thrombus may acutely destabilize the aneurysm wall. Aneurysms with an anatomic arrangement that promote continued flow into the neck may not be optimal candidates for the flow-diversion treatment strategy.

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