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Endovascular coiling has been recognised as a robust treatment for acutely ruptured intracranial arterial aneurysms, although specific data regarding an aneurysm arising from a persistent hypoglossal artery is lacking due to the low incidence. Here we report both the oldest patient reported to be treated with a persistent hypoglossal artery-associated aneurysm and also explicitly report endovascular treatment of a persistent hypoglossal artery aneurysm arising at the posterior inferior cerebellar artery origin. Qualitative systematic review of the available medical literature demonstrates limited evidence regarding treatment of persistent hypoglossal artery-associated aneurysms with the majority being carried out via open surgery. Ruptured posterior inferior cerebellar artery aneurysm arising from a persistent hypoglossal artery can be successfully and safely treated by endovascular therapy via the persistent hypoglossal artery. Randomised study of this situation is unlikely to be feasible; however, qualitative review of the literature reveals six such aneurysms that have been treated surgically, and this case appears to be the first via an endovascular means.<\/jats:p>","DOI":"10.1177\/1591019918809087","type":"journal-article","created":{"date-parts":[[2018,11,4]],"date-time":"2018-11-04T06:10:18Z","timestamp":1541311818000},"page":"164-171","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Persistent hypoglossal artery aneurysm: Case report and qualitative systematic review"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5656-9509","authenticated-orcid":false,"given":"George H","family":"Tse","sequence":"first","affiliation":[{"name":"Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard A","family":"Dyde","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart C","family":"Coley","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11,4]]},"reference":[{"key":"bibr1-1591019918809087","first-page":"282","volume":"4","author":"Batujef N","year":"1889","journal-title":"Anat Anz"},{"key":"bibr2-1591019918809087","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1230222"},{"key":"bibr3-1591019918809087","doi-asserted-by":"publisher","DOI":"10.1007\/BF01406306"},{"key":"bibr4-1591019918809087","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.172.5.10227532"},{"key":"bibr5-1591019918809087","doi-asserted-by":"crossref","unstructured":"Lasjaunias P, Craniocervical junction. 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