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Bilateral mirror posterior inferior cerebellar artery aneurysms: diagnostic caveat on catheter angiography
1Department of Radiology, Division of Neuroradiology, Section of NeuroInterventional Surgery, Texas A&M University Health Sciences Center College of Medicine/Scott and White Clinic, Temple, TX 76508, USA. wlesley@swmail.sw.org
Abstract:
Only three definitive cases of bilateral mirror proximal posterior inferior cerebellar artery (PICA) aneurysms have ever been reported. A fourth example is presented where each PICA aneurysm remained angiographically occult on contralateral vertebral artery angiography despite retrograde filling of the parent vessel PICA. Implications for clinical practice are discussed.
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