Document Detail

Intracranial aneurysms associated with unsuspected aortic coarctation.
MedLine Citation:
PMID:  12450049     Owner:  NLM     Status:  MEDLINE    
Intracranial aneurysms (IAs) are found more often in patients with aortic coarctation (AC) than in the general population and aneurysm rupture occurs much earlier in the lives of these patients when there is coexistent AC. The diagnosis of AC is frequently made only after a serious cerebrovascular complication has developed. The aim of this paper is to call attention to AC in patients presenting with aneurysmal subarachnoid hemorrhage. The literature is reviewed, the key clinical features are highlighted, and the proposed pathogenesis of this association is discussed. The authors present clinical information and imaging data obtained in three young patients with ruptured IAs that were associated with initially unnoticed AC. Abnormal results of cardiovascular examinations led the authors to consider an underlying AC, which was later confirmed by aortography. These aneurysms were successfully treated prior to correction of the ACs. The diagnosis of AC should be considered in adolescent and young adult patients presenting with IAs.
Rodrigo Mercado; Susana López; Carlos Cantú; Angel Sanchez; Rogelio Revuelta; Sergio Gómez-Llata; J Antonio Bouffard; Carlos Pineda
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  97     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2002 Nov 
Date Detail:
Created Date:  2002-11-26     Completed Date:  2002-12-13     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1221-5     Citation Subset:  AIM; IM    
Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, Mexico.
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MeSH Terms
Aneurysm, Ruptured / complications*
Aortic Coarctation / complications*,  radiography
Cerebral Angiography
Intracranial Aneurysm / complications*,  radiography
Subarachnoid Hemorrhage / etiology

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