Wagner MW, Dewan MC, Dmytriw AA, Ramaswamy V, Taylor MD, Muthusami P. Radiation-induced intracranial aneurysm presenting with acute hemorrhage in a child treated for medulloblastoma. Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery. 2020 Aug 9. PMID: 32772130 [PubMed]
Radiation-associated aneurysms are rare, difficult to treat, and associated with high morbidity and mortality when ruptured, compared with aneurysms unrelated to radiation treatment. We present a 16-year-old patient with a radiation-induced intracranial aneurysm arising from the left posterior inferior cerebellar artery (PICA), 10 years following radiotherapy for medulloblastoma. The patient successfully underwent endovascular coil embolization of the parent artery across the neck of the aneurysm. CT angiography and MRI in the days following the procedure demonstrated maintained flow in the anterior and lateral medullary PICA segments with no brainstem infarct.