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Multiple intracranial aneurysms and abdominal aortic occlusion in a young woman
| Content Provider | Semantic Scholar |
|---|---|
| Author | Wang, Yubo Wang, Honglei Xu, Ning |
| Copyright Year | 2018 |
| Abstract | RATIONALE Multiple intracranial aneurysms occur in 10% to 30% patients with cerebral aneurysms. PATIENT CONCERNS We reported a case of multiple intracranial aneurysms concurrent with abdominal aortic occlusion (AAO) in a 29-year-old woman was admitted because of abrupt onset of severe headache, vomiting, and dizziness for 26 hours. She complained sudden onset of severe headache, vomiting, and dizziness. DIAGNOSES Head computed tomography (CT) angiogram revealed 2 aneurysms of the anterior communicating artery (ACA) and a third aneurysm at the right middle cerebral artery (MCA). A diagnosis of multiple intracranial aneurysms concurrent with abdominal aortic occlusion (AAO) was made. INTERVENTIONS We clipped the 2 aneurysms at the ACA via a right pterional approach. The transfemoral approach failed because of an unsuspected AAO. A right carotid artery approach was then employed to embolize the aneurysm at the right MCA with three coils. OUTCOMES Magnetic resonance angiography (MRA) at 7 days after the embolization demonstrated complete disappearance of all the intracranial aneurysms, but AAO was still present. The patient remained asymptomatic during 5-years of follow-up. LESSONS The case highlights the importance of a thorough physical examination, and in rare cases, AAO or other abdominal aortic abnormalities should be considered in young nonsmoking females. Successful treatment can be achieved by aneurysm clipping and embolization. |
| Starting Page | 227 |
| Ending Page | 233 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 29879036v1 |
| Alternate Webpage(s) | https://doi.org/10.1097/MD.0000000000010934 |
| DOI | 10.1097/MD.0000000000010934 |
| Journal | Medicine |
| Volume Number | 97 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | American Academy of Osteopathy Aortic Aneurysm, Abdominal Aortic Valve Insufficiency Carotid Arteries Congenital Abnormality Dizziness Headache Hospital admission Intracranial Aneurysm Magnetic Resonance Angiography Patients Physical Examination Structure of anterior cerebral artery Structure of anterior communicating artery Structure of cerebral artery Structure of middle cerebral artery Vomiting X-Ray Computed Tomography angiogram aortic occlusion |
| Content Type | Text |
| Resource Type | Article |
