“…As for aneurysms associated with PPHA, 53% of the reported aneurysm was located in the posterior circulation, and the PPHA-basilar artery (31.4%) was the most common location [4] . Ten cases of ruptured PICA aneurysms associated with PPHA have been reported, including the present case ( Table 1 ) [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] . Five males and 5 females with a mean age of 28.7±14.…”