{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:35:29Z","timestamp":1793957729397,"version":"4.8.0"},"reference-count":67,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,3,10]],"date-time":"2023-03-10T00:00:00Z","timestamp":1678406400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003Anterior inferior cerebellar artery (AICA) aneurysms are rare posterior circulation lesions that are challenging to treat. This article presents the treatment and clinical outcome of AICA aneurysms in an unselected cohort of patients.<\/jats:p><jats:p>\n          Methods\u2003A retrospective analysis of patient record files, digital subtraction angiography, and computed tomography angiography images of 15 consecutive patients harboring AICA aneurysms treated between 1968 and 2017.<\/jats:p><jats:p>\n          Results\u2003Of the 15 AICA aneurysm patients reviewed, 12 (80%) were females. Twenty percent had intracerebral hemorrhage and 40% presented with intraventricular hemorrhage. Eleven out of 15 (73%) patients presented with subarachnoid hemorrhage (SAH); 82% of SAH patients had a good-grade SAH (Hunt and Hess grade 1\u20133). Eleven patients (73%) were treated surgically, three (20%) were treated conservatively, and one (7%) had coil embolization. In 27% of patients, a subtemporal approach with anterior petrosectomy was performed. A retrosigmoid approach was used in the remaining 73%. In 18% of the patients, a parent vessel occlusion was necessary to occlude the aneurysm. Five out of 11 (47%) of the patients developed postoperative cranial nerve deficits. Twenty-seven percent developed shunt-dependent hydrocephalus. All patients who presented with an unruptured AICA aneurysm had good clinical outcome (modified Rankin scale [mRS] 1\u20132). In patients with SAH, 82% achieved good clinical outcome and 18% had poor clinical outcome (mRS 3\u20136) after 1 year.<\/jats:p><jats:p>\n          Conclusion\u2003Surgical treatment of AICA aneurysms has a high rate of cranial nerve deficits but most of patients have a good long-term clinical outcome.<\/jats:p>","DOI":"10.1055\/s-0042-1758844","type":"journal-article","created":{"date-parts":[[2023,3,11]],"date-time":"2023-03-11T00:02:24Z","timestamp":1678492944000},"page":"030-035","source":"Crossref","is-referenced-by-count":6,"title":["Treatment and Outcome of Anterior Inferior Cerebellar Artery (AICA) Aneurysms: Helsinki Series of 15 Consecutive Patients"],"prefix":"10.1055","volume":"18","author":[{"given":"Sajjad","family":"Muhammad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical Faculty, Heinrich Heine University, D\u00fcsseldorf, Germany"},{"name":"Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Hafez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna","family":"Kaukovalta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behnam Rezai","family":"Jahromi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riku","family":"Kivisaari","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"H\u00e4nggi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Medical Faculty, Heinrich Heine University, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Niemel\u00e4","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,3,10]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s10143-011-0338-1","article-title":"Anterior inferior cerebellar artery aneurysms: six cases and a review of the literature","volume":"35","author":"X Li","year":"2012","journal-title":"Neurosurg Rev"},{"issue":"06","key":"ref2","first-page":"1236","article-title":"The current role of 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