Ruptured vertebral artery dissecting aneurysm is more prone to re-bleeding and thus needs immediate
surgical management. We present a case of 47 years old male with ruptured vertebral artery dissecting
aneurysm which was immediately treated by endovascular surgery. Coil occlusion of the vertebral
artery at the aneurysm site was performed. As emergency open surgery is often not possible, this case
shows that endovascular surgery is an effective and helpful alternative.