Anterior Cerebral Artery Dissection in a Patient With Autosomal Dominant Polycystic Kidney Disease
| Autor: | Makiko Tanaka, Taiji Itoh, Junji Takasugi, Nobuko Otsuka, Jun Hatate, Shiro Sugiura, Tsutomu Takahashi |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Subarachnoid hemorrhage Cerebral arteries Autosomal dominant polycystic kidney disease Renal function Conservative Treatment 03 medical and health sciences 0302 clinical medicine Aneurysm medicine.artery Internal medicine medicine Anterior cerebral artery Humans Aortic dissection business.industry Rehabilitation Intracranial Artery Intracranial Aneurysm Middle Aged medicine.disease Polycystic Kidney Autosomal Dominant Cerebral Angiography Aortic Dissection Diffusion Magnetic Resonance Imaging Cardiology Surgery Neurology (clinical) Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed 030217 neurology & neurosurgery Magnetic Resonance Angiography |
| Zdroj: | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association. 28(9) |
| ISSN: | 1532-8511 |
| Popis: | Intracranial artery dissection secondary to autosomal dominant polycystic kidney disease is far less common than cerebral aneurysm. A 55-year-old man presented a sudden onset of headache and disturbed consciousness caused by ischemic stroke in the bilateral frontal lobes with minor subarachnoid hemorrhage. The bilateral anterior cerebral arteries were firstly occluded and re-perfused with irregular narrowing and dilation in 3 days after stroke onset, indicating dissection. He was diagnosed with autosomal dominant polycystic kidney disease by abdominal CT findings and by his family history though his renal function was almost normal. Dissection in the anterior cerebral artery has not been reported previously, while some cases with dissection in the vertebral and extracranial arteries were reported in autosomal dominant polycystic kidney disease. His family also had a history of aortic dissection and subarachnoid hemorrhage. Intracranial artery dissection may be a manifestation of systemic arteriopathy with familial clustering in autosomal dominant polycystic kidney disease. Strict antihypertensive treatment is needed in these cases. |
| Databáze: | OpenAIRE |
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