Aim: To study the operative approaches for posterior inferior cerebellar artery (PICA) aneurysms or understanding the different pathologies that can affect this artery, and to present detailed knowledge of this artery?s anatomy.
Material And Methods: The present study analyzed the different variations of the PICA?s first two segments, the anterior medullary and lateral medullary segments, regarding the number of trunks, their emergency site, and the presence or absence of hypoplasia of this artery, through microsurgical dissection of 23 fresh cadaver brains.
Results: Some striking variations were found, such as the absence of the left vertebral artery in one of the brains and the emergence of any PICA in another two brains studied.