Diffuse cerebral angiomatosis associated to basilar apex aneurysm.

Autor: Umana, Giuseppe Emmanuele, Spitaleri, Angelo, Fricia, Marco, Indorato, Ignazio, Nicoletti, Giovanni Federico, Cicero, Salvatore, Scalia, Gianluca
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Zdroj: British Journal of Neurosurgery; Oct2023, Vol. 37 Issue 5, p1215-1219, 5p, 1 Color Photograph, 5 Black and White Photographs
Abstrakt: Diffuse cerebral angiomatosis (DCA) is a diffuse infiltration of normal brain by complex vascular structures. It differs from arteriovenous malformations (AVMs) that are composed of a nidus of vessels through which arteriovenous shunting occurs without interposed functional brain parenchyma. A rare subgroup of AVMs is diffuse with no recognizable nidus with functional neuronal tissue interspersed within the malformed vessels. We present a rare association of DCA and cerebral arterial aneurysm, which dramatically influenced the patient's prognosis. A 43-year-old male patient with right hemispheric diffuse cerebral angiomatosis presented with a ruptured basilar tip aneurysm that was successfully embolised. Unfortunately, the patient developed a locked-in syndrome. The present report shows a possible association between diffuse cerebral angiomatosis and cerebral aneurysms, but this association appears to be less strong than it is with other AVMs. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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