Review explores treatment options and outcomes for giant anterior inferior cerebellar artery aneurysms, indicating effective strategies.
Giant AICA aneurysms are amenable to both microsurgery and endovascular treatment. AICA sacrifice may be safely attempted in distal aneurysms. Proximal thrombosed aneurysms which cannot be safely embolized or ones with significant mass effect may benefit from microsurgical occlusion and may require debulking.
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Theofanopoulos et al. (2026) studied this question.
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