Related Experiment Videos
[Ruptured cerebral aneurysm associated with aortitis syndrome: a case report]
No Shinkei Geka. Neurological Surgery
|June 1, 1985
Summary
A rare case of aortitis syndrome complicated with a basilar bifurcation aneurysm is presented. This study reviews seven previously reported cases, highlighting the infrequent association between these conditions.
Area of Science:
- Vascular Neurology
- Cardiovascular Medicine
- Rheumatology
Background:
- Aortitis syndrome, a rare inflammatory condition affecting the aorta, can infrequently lead to cerebral aneurysms.
- Cerebral aneurysms associated with aortitis syndrome are exceptionally rare, with only seven cases documented previously.
Observation:
- A 58-year-old woman with a history of hypertension and diagnosed aortitis syndrome presented with sudden severe headache and loss of consciousness.
- Clinical examination revealed unpalpable pulses in the left common carotid and radial arteries, alongside neurological deficits including left hemiparesis.
- Cerebrospinal fluid analysis showed bloody fluid, indicative of subarachnoid hemorrhage.
Findings:
- Angiography confirmed aortitis syndrome with occlusion of the left common carotid and left subclavian arteries.
- An aneurysm was identified at the basilar artery bifurcation via angiography through the right vertebral artery.
Implications:
- This case adds to the scarce literature on aortitis syndrome complicated by cerebral aneurysms, specifically at the basilar bifurcation.
- Understanding this rare association is crucial for diagnosis and management of patients with aortitis syndrome presenting with neurological symptoms.