Delayed development of a de novo contralateral middle cerebral artery aneurysm in a patient with hyperimmunoglobulin E syndrome: A case report
| Autor: | Allicia Gunderman, Eric S. Nussbaum, Collin M Torok, Jason M Carroll |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Middle Cerebral Artery Subarachnoid hemorrhage Time Factors Aneurysm Ruptured 03 medical and health sciences Middle cerebral artery aneurysm Cerebral circulation 0302 clinical medicine Aneurysm medicine.artery medicine Humans cardiovascular diseases 030304 developmental biology 0303 health sciences medicine.diagnostic_test business.industry Intracranial Aneurysm Middle Aged medicine.disease Surgery nervous system diseases Increased risk Angiography Middle cerebral artery cardiovascular system Female Hyperimmunoglobulin E syndrome business Job Syndrome 030217 neurology & neurosurgery |
| Zdroj: | Interv Neuroradiol |
| ISSN: | 2385-2011 |
| Popis: | A 50-year-old female patient with hyperimmunoglobulin E syndrome (HIES) presented initially at the age of 48 years with subarachnoid hemorrhage (SAH) from a ruptured left middle cerebral artery (MCA) bifurcation aneurysm, which was treated successfully with coiling and microsurgical clipping. Angiography and cross-sectional imaging did not indicate evidence of any additional intracranial aneurysm. However, the patient presented two years later with SAH secondary to a new ruptured right MCA bifurcation aneurysm, which was treated successfully with microsurgical clipping. This case provides further evidence that HIES places the cerebral vasculature at increased risk for cerebral aneurysm formation and that special considerations are indicated in managing and monitoring these patients. |
| Databáze: | OpenAIRE |
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