Intracranial aneurysm and arachnoid cyst: a rare association between two cerebral malformations

Autor:	de Holanda Cv, Sanchez Sl, Marcio S. Rassi, de Oliveira Jg, Luis A. B. Borba, Rassi-Neto A, Giudicissi-Filho M, Ribeiro Ca
Rok vydání:	2007
Předmět:	Adult Intracranial Arteriovenous Malformations Male medicine.medical_specialty Subdural haematoma Aneurysm Arachnoid cyst medicine.artery medicine Humans cardiovascular diseases Subdural space Aged Cranial Fossa Middle business.industry Intracranial Aneurysm General Medicine Middle Aged medicine.disease nervous system diseases Surgery Arachnoid Cysts body regions Anterior communicating artery Treatment Outcome medicine.anatomical_structure Arteriovenous Fistula Female Neurology (clinical) Radiology Subarachnoid space Internal carotid artery Tomography X-Ray Computed business Carotid Artery Internal
Zdroj:	British Journal of Neurosurgery. 21:406-410
ISSN:	1360-046X 0268-8697
Popis:	Intracranial aneurysms and arachnoid cysts are cerebral disorders of a high prevalence. However, association between both malformations is a rare finding. The aim was to analyse this association with regard to the different clinical presentations according to the haemorrhage types, as well as the pathogenesis of this association. We searched the English language literature in MEDLINE database in order to include all manuscripts in which this association was found. A new case of a 55-year-old man with a large posterior communicating artery aneurysm and a middle cranial fossa arachnoid cyst presenting with headache and seizure was added to review of the literature and presented as an illustrative case. Nine cases were found. Six were male and three were female. The mean age was 42 years (range 29-66 years). All but one arachnoid cysts were located at middle cranial fossa, aneurysms arose from middle cerebral artery in three cases, internal carotid artery bifurcation in two cases, posterior communicating segment of carotid artery in two cases, anterior communicating artery in one case and azygos pericallosal artery in one case. Clinical presentation was related to aneurysmal rupture in six cases (subarachnoid haemorrhage in four, subdural haematoma in one and intracystic haematoma in two) and related to arachnoid cysts in three cases, where the most common symptoms were seizures and headache. Association between intracranial aneurysms and arachnoid cysts is a rare finding that can present with signs and symptoms related to aneurysm rupture, or with mass effect and seizures related to the cyst. The aneurysmal haemorrhage may be atypical, since it can be into the subarachnoid space, into the arachnoid cyst, or into the subdural space.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e91536a112f80198481761875664df05 https://doi.org/10.1080/02688690701466313 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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