Aneurysms located on the bailar superior cerebellar artery (SCA) junction are very rare. Endovascular coiling is a safe and feasible treatment option for these challenging cases regardless of the narrow operative field, their intimate relationship to perforating vessels and cranial nerves, which results in high morbidity and mortality rates during clipping. From Jan. 2013 to Jan. 2014, we treated three patients (three women between the ages of 44 to 52 years) with ruptured basilar SCA junction aneurysms by endovascular embolization. All the three patients presented with rupture symptoms and were treated in the acute period. Informed and written high-risk consent was given by all patients prior to the treatment. Successful angiographic and clinical outcome was achieved in all three patients. Endovascular treatment of basilar SCA junction aneurysms with coils or combined with stent is an effective and safe option in the management of this rare aneurysm.
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