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Updated: Jun 13, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Vertebral artery dissecting aneurysm with Cushing's syndrome: case report
Masayasu Kato1, Yoshitaka Tanaka, Tatsuya Kuroda
1Department of Neurosurgery, Gifu Prefectural General Medical Center, Gifu, Japan. masayasu.kato@nifty.ne.jp
Abstract:
A 45-year-old woman presented with subarachnoid hemorrhage of World Federation of Neurosurgical Societies grade IV. Cerebral angiography showed a dissecting aneurysm of the right vertebral artery (VA). Internal trapping of the right VA with coils was performed. The postoperative course was uneventful, but she continued to demonstrate moon facies and experience amenorrhea. Computed tomography demonstrated an adrenal tumor. Laparoscopic adrenalectomy was performed under a diagnosis of Cushing's syndrome caused by an adrenal tumor. Overproduction of cortisol caused by Cushing's syndrome may be related to the development of cerebral aneurysm.
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