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Gopalakrishnan CV et al. – Aneurysms arising from anterior inferior cerebellar artery–posterior inferior cerebellar artery (AICA–PICA) variant are exceedingly rare. The authors report two cases of distal AICA–PICA variant aneurysms and discuss their surgical management with emphasis on the higher risk for perforator artery injury. The etiopathogenesis of these rare aneurysms at non–branching sites remains elusive.

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