The development of intracranial aneurysms associated with pulseless disease

Masuzawa, Toshio; Shimabukuro, Hiroshi; Sato, Fumiaki; Furuse, Makoto; Fukushima, Kunihiro

doi:10.1016/s0090-3019(82)80041-4

Cited by 17 publications

(28 citation statements)

References 2 publications

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“…5,13) However, aneurysmal SAH may be an incidental event unrelated with Takayasu's arteritis because the incidence of cerebral aneurysm in Takayasu's arteritis is not different from the natural incidence and microscopic studies of the aneurysms have shown no vascular inflammation. 6) If pathological processes of the intracranial arterial wall are involved in aneurysm formation in Takayasu's arteritis, dissecting aneurysm may also be formed and result in SAH. Our patient had SAH mainly in the prepontine cistern and her basilar artery was very stenotic compared with the dilated vertebral arteries.…”

Section: Discussionmentioning

confidence: 99%

Takayasu's Arteritis Complicated With Subarachnoid Hemorrhage and Hematomyelia -Case Report-

Hyun

Hwang

Nam

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 44-year-old woman presented with severe headache, drowsy mentality, and right hemiparesis. Brain computed tomography and magnetic resonance angiography revealed non-aneurysmal subarachnoid hemorrhage (SAH). Thoraco-abdominal and pelvic computed tomography angiography showed multiple steno-occlusive lesions involving the aorta and its large branches suggesting Takayasu's arteritis. Spine magnetic resonance imaging was taken because of prominent right hand muscle atrophy on the 14th hospital day, which showed subacute stage of hematomyelia in the cervical cord and conus medullaris. Aneurysmal or non-aneurysmal SAH is rare in patients with Takayasu's arteritis but SAH with coincidental hematomyelia is even more unusual. This case emphasizes the rarity of the coincidental spinal hematomyelia and its importance in the differential diagnosis.

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Section: Discussionmentioning

confidence: 99%

Takayasu's Arteritis Complicated With Subarachnoid Hemorrhage and Hematomyelia -Case Report-

Hyun

Hwang

Nam

et al. 2011

Neurol. Med. Chir.(Tokyo)

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“…18) However, we previously reported the absence of vascular inflammation of the cerebral aneurysm or adjacent parent arteries in microscopic autopsy studies of patients with pulseless disease. [12][13][14] Therefore, we suspect that the pathogenesis of intracranial aneurysms might differ from that of pulseless disease. Intracranial saccular aneurysm associated with pulseless disease is extremely rare, with only 17 patients harboring 26 intracranial aneurysms.…”

Section: Discussionmentioning

confidence: 99%

“…Intracranial saccular aneurysm associated with pulseless disease is extremely rare, with only 17 patients harboring 26 intracranial aneurysms. 1,2,7,8,[10][11][12][13][14][15][16]21,23,26) The aneurysms showed an especially high incidence (14 of 26) in the vertebrobasilar system, and interestingly all patients with aneurysms in this location showed occlusion of the bilateral or unilateral common carotid artery ( Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…Ruptured intracranial aneurysms are only rarely associated with this disease, with only 16 cases reported in Japan. 1,2,7,8,[10][11][12][13][14][15][16]21,23,26) Here, we describe a case of pulseless disease associated with a ruptured aneurysm of the right VAposterior interior cerebellar artery (PICA), and discuss the clinical characteristics and pathogenesis.…”

Section: Introductionmentioning

confidence: 99%

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Ruptured Vertebral Artery-Posterior Inferior Cerebellar Artery Aneurysm Associated With Pulseless Disease-Case Report-

Kanda

Shinoda

Masuzawa

2004

Neurol. Med. Chir.(Tokyo)

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A 48-year-old woman with a 29-year history of pulseless disease presented with subarachnoid hemorrhage caused by a rare ruptured intracranial aneurysm of the right vertebral-posterior inferior cerebellar artery. The aneurysm was successfully clipped. Pulseless disease is a chronic and nonspecific vasculitis involving mainly the aorta and its main branches such as the carotid, subclavian, vertebral, and coronary arteries. The cervical vessels are mostly affected in Japanese patients. Almost all patients have ischemic disorders of the involved vessels, manifesting as syncope, visual disturbance, or a faint or absent pulse. The mechanisms responsible for pulseless disease and intracranial aneurysms are likely to be different.

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“…Also cerebral hemodynamics may be chronically insufficient in Takayasu's arteritis (15,19) and a small reduction in blood pressure may develop cerebral ischemia even in the chronic stage of the disease (21). Although intracranial bleeding or aneurysmal rupture may be the cause of mortality in Takayasu's arteritis (9,17), hemorrhagic stroke including SAH has not been reported frequently compared with ischemic stroke. Most cases of SAH in Takayasu's arteritis have been reported to be related with intracranial aneurysmal rupture.…”

Section: Discussionmentioning

confidence: 99%

Takayasu's Arteritis Presented with Subarachnoid Hemorrhage: Report of Two Cases

Kim

Yoo

et al. 2002

J Korean Med Sci

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Takayasu's arteritis is a chronic inflammatory disease that produces a narrowing of the aorta and its major branches. Fibrosis and thickening of the arterial wall often occur in later stages, resulting in a cerebrovascular accident. The authors report two young women patients who presented with subarachnoid hemorrhage (SAH) and occlusive cerebrovasular disease associated with Takayasu's arteritis. Both patients had sudden headache and hemiparesis. Physical examination showed weak radial pulse, carotid bruit, and asymmetrical blood pressure. Erythrocyte sedimentation rate (ESR) was elevated in both patients. SAH was confirmed by brain computerized tomography (CT) or lumbar puncture. Occlusive cerebrovascular disease was diagnosed by brain magnetic resonance imaging (MRI), brain magnetic resonance angiography (MRA), and cerebral angiography. The findings of aortography and cerebral angiography were compatible with Takayasu's arteritis, but intracranial aneurysm was not found in either patient.

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The development of intracranial aneurysms associated with pulseless disease

Cited by 17 publications

References 2 publications

Takayasu's Arteritis Complicated With Subarachnoid Hemorrhage and Hematomyelia -Case Report-

Takayasu's Arteritis Complicated With Subarachnoid Hemorrhage and Hematomyelia -Case Report-

Ruptured Vertebral Artery-Posterior Inferior Cerebellar Artery Aneurysm Associated With Pulseless Disease-Case Report-

Takayasu's Arteritis Presented with Subarachnoid Hemorrhage: Report of Two Cases

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