Abstract
Abstract
Background
Cases of multiple cerebral aneurysms are rare. In this case report, we describe a male patient with multiple, enlarging, and ruptured aneurysms. The two aneurysms were believed to be dissecting aneurysms.
Case description
A 47-year-old man presented with left limb paralysis. Magnetic resonance imaging revealed a cerebral infarction. Digital subtraction angiography (DSA) identified an aneurysm and occlusion in the right middle cerebral artery (MCA). The MCA aneurysm was remarkably enlarged on the eighth day after cerebral ischemia and was treated using endovascular techniques. Two weeks after the endovascular treatment, the patient experienced a severe headache and became comatose, and a subarachnoid re-hemorrhage was confirmed. The fourth DSA revealed an enlarging dissecting aneurysm in the posterior cerebral artery. The patient died without further treatment.
Conclusion
Some dissecting aneurysms rapidly enlarge and rupture.
Funder
Administration of Traditional Chinese Medicine of Guangdong Province of China
Publisher
Springer Science and Business Media LLC
Subject
Neurology (clinical),General Medicine
Reference28 articles.
1. Etminan N, Buchholz BA, Dreier R, Bruckner P, Torner JC, Steiger HJ, et al. Cerebral aneurysms: formation, progression, and developmental chronology. Transl Stroke Res. 2014;5:167–73.
2. Steiger HJ. Pathophysiology of development and rupture of cerebral aneurysms. Acta Neurochir Suppl (Wien). 1990;48:1–57.
3. Backes D, Rinkel GJ, Laban KG, Algra A, Vergouwen MD. Patient- and Aneurysm-Specific Risk Factors for Intracranial Aneurysm Growth: A Systematic Review and Meta-Analysis. Stroke. 2016;47:951–7.
4. Matheus MG, Castillo M. Development of de novo intracranial aneurysm in three months: case report and literature review. AJNR Am J Neuroradiol. 2003;24:709–10.
5. Doenitz C, Schebesch KM, Zoephel R, Brawanski A. A mechanism for the rapid development of intracranial aneurysms: a case study. Neurosurgery. 2010;67:1213–21 discussion 21.