Intracranial aneurysms associated with aortitis syndrome: case report and review of the literature

Neurosurgery
K AsaokaH Abe

Abstract

Aortitis syndrome is a systemic vasculitis of unknown etiology, affecting mainly the major branches of the aorta and leading to stenosis or occlusion. Intracranial aneurysms are rarely associated with this syndrome. Only 15 cases have been previously reported. A 54-year-old woman with a 10-year history of aortitis syndrome demonstrated nonruptured cerebral aneurysms in the left internal carotid and anterior communicating arteries, with decreased flow in the right internal carotid artery and ipsilateral A1 segment. The patient underwent clipping of the aneurysms through a left pterional craniotomy and transsylvian approach. In our review of 16 reported cases, including the present case (13 with ruptured aneurysms and 3 with nonruptured aneurysms), there were 25 saccular aneurysms, and we noted the following clinical characteristics: 1) patient age was 26 to 64 years, with an average of 50.2 years; 2) aneurysms arose predominantly along the course of collateral flow, especially in the vertebrobasilar system (13 of 25 aneurysms, 52.0%); 3) there was a high incidence of multiplicity (7 of 16 cases, 43.8%). These characteristics suggest that increased hemodynamic stress, produced by stenosis or occlusion of the major branches of the...Continue Reading

References

Jun 1, 1989·Journal of Neurosurgery·W E Stehbens
Jan 1, 1986·Neuroradiology·T MasuzawaF Sato
Jul 1, 1984·Neurologia Medico-chirurgica·T MasuzawaF Sato
Feb 1, 1982·Surgical Neurology·T MasuzawaK Fukushima
Dec 1, 1994·Neurologia Medico-chirurgica·S NishimuraT Yoshimoto

❮ Previous
Next ❯

Citations

May 10, 2008·Journal of Neurosurgery·Hamilton MatushitaFernando Campos Gomes Pinto

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Coarctation

Aortic coarctation is a congenital condition characterized by narrowing of the aorta. Discover the latest research on this disease here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē
Panagiotis HountisKonstantinos Bolos
The International Journal of Angiology : Official Publication of the International College of Angiology, Inc
A SarigülE Böke
© 2021 Meta ULC. All rights reserved