Familial intracranial aneurysms and infundibular dilatation.
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概要
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We report 3 individuals from one family with intracranial aneurysms subarachnoid hemorrhage due to ruptured aneurysm at the junction between the left internal carotid artery and posterior communclating artery. Case 2 (a 55-year-old male) was found to have an unruptured cerebral aneurysm at the junction between the left internal carotid artery and posterior communicating artery. Case 3 (a 57-year-old male) was investigated by us, and demonstrated evidence of aneurysmal dilation at the junction between the left internal caroid artery and posterior communicating artery. All or these patients were operated on successfully. Familial intracranial aneurysms have been emphasized to show the following characteristics:(1) ease of rupture at younger ages as compared to not familial ones, (2) to be localized at the same site or a mirror site, (3) a greater likelihood to be multicentric, (4) flemale aneurysms somewhat outnumber male ones, and (5) a likelihood to runture at the same age. On the other hand, many problems remain, as follows: (1) securing a firm diagnosis as familial intracranial aneurysm, (2) which siblings should be anamined and when?, (3) is MRA maliable or not for accurate detection in order to avoid raise-nepative cases?, (4) deciding how to rical with infundibular dilatation, and (5) sctailed procedures and methods of follow-up. Strenous need to be made to resulve such problems. We discuss our 3 operated cases form among 8 siblings of one family and review some of the pertinent literature on familial intracranial aneurysms.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
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