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Ruptured intracranial aneurysm associated with unruptured abdominal aortic aneurysm--case report
1Department of Neurosurgery, Kakegawa City General Hospital, Kakegawa, Shizuoka.
Neurologia Medico-Chirurgica
|June 9, 2001
Summary
This case highlights a rare association between intracranial aneurysms and abdominal aortic aneurysms. Early detection and management of both conditions are crucial for patient outcomes.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Subarachnoid hemorrhage (SAH) is a critical neurological emergency often caused by ruptured intracranial aneurysms.
- A family history of SAH suggests a potential genetic predisposition to aneurysm formation.
- Associated vascular abnormalities, including aortic aneurysms, can coexist with intracranial aneurysms.
Observation:
- A 61-year-old male with hypertension presented with SAH from an anterior communicating artery aneurysm.
- An abdominal aortic aneurysm was incidentally discovered 37 days post-SAH.
- The patient also developed normal pressure hydrocephalus.
Findings:
- The anterior communicating artery aneurysm was successfully clipped.
- The abdominal aortic aneurysm measured 8 x 9 x 8 cm with intraluminal thrombus.
- Surgical resection of the abdominal aortic aneurysm preceded ventriculoperitoneal shunting for hydrocephalus.
Implications:
- This case underscores the possibility of unpredictable, rapid enlargement of associated abdominal aortic aneurysms in patients with ruptured intracranial aneurysms.
- It emphasizes the importance of comprehensive vascular screening in patients with intracranial aneurysms, particularly those with a family history.
- Integrated management involving neurology and vascular surgery is essential for addressing complex cerebrovascular and systemic vascular conditions.
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