| Giant fusiform aneurysms in the middle cerebral artery presenting with hemorrhages of different origins. Report of three cases and review of the literature. | |
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MedLine Citation:
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PMID: 12924715 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Three cases of giant fusiform aneurysms in the middle cerebral artery (MCA) presenting with hemorrhages of different origins are reported, and appropriate literature is reviewed to investigate the characteristics of these lesions. Two patients had suffered a subarachnoid hemorrhage and the other had an intramural hemorrhage (dissection). Pathologically, these aneurysms presented with hemorrhages of different origins; classic rupture type (Case 1), dissection type (Case 2), and atherosclerosis-related thrombosis type (Case 3). Based on surgical and pathological investigations in these three cases and a review of the reported literature, the authors propose that giant fusiform aneurysms in the MCA are characterized by weaknesses in the internal elastic lamina with intimal thickening. Therefore, these lesions have the potential to present with hemorrhage in each of the three types. This finding indicates that there is a strong relationship between the pathological features of giant fusiform aneurysms and their clinical course, and that it is necessary to determine appropriate therapy for giant fusiform aneurysms in the MCA by evaluating cerebral blood flow, even if the lesions are found incidentally. |
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Authors:
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Nobutaka Horie; Nobuaki Takahashi; Shoji Furuichi; Katsuharu Mori; Masanari Onizuka; Keisuke Tsutsumi; Shobu Shibata |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 99 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-08-19 Completed Date: 2003-09-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 391-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, Nagasaki University School of Medicine, Nagasaki, Japan. n-horie@net.nagasaki-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Humans Intracranial Aneurysm / complications*, radiography*, surgery Male Neurosurgical Procedures Severity of Illness Index Subarachnoid Hemorrhage / etiology*, radiography*, surgery Tomography, X-Ray Computed |
| Comments/Corrections | |
Comment In:
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J Neurosurg. 2003 Aug;99(2):215-6; discussion 216-7
[PMID:
12924689
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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