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Scientific article
English

A 54-year-old man with 12 intracranial aneurysms and familial subarachnoid hemorrhage: case report

Contributors

Hosainey, Sayied Abdol Mohieb; Meling, Torstein

Published in

Neurosurgical Review, vol. 39, no. 4, p. 711-716

Publication date

2016

Abstract

Unruptured intracranial aneurysms occur in 1-3 % of the general population, and the risk of rupture is generally considered to be low. However, patients with multiple aneurysms and familial predisposition carry a particular risk of subarachnoid hemorrhage (SAH). A 54-year-old hypertensive man underwent screening with a head CT angiography (CTA) because of his comorbidities. CTA revealed multiple bilateral aneurysms around the circle of Willis. At first surgery, seven aneurysms were clipped (BA, ACOM, ICA ×2, and MCA ×3), two of which were detected intraoperatively only. During the second surgery, another three aneurysms were surgically clipped (PCOM and MCA ×2), one of which was detected intraoperatively. Follow-up angiography revealed another two aneurysms. A PCOM aneurysm was treated by coil embolization and a VA aneurysm clipped surgically during a third admission. The patient made an uneventful recovery. However, 4 months after his second surgery, his daughter underwent surgical clipping of a right-sided ICA aneurysm. This case report highlights both the importance of screening of high risk patients with family history of SAH, as well as its limitations, as our patient developed two de novo aneurysms during 6-month follow-up and CTA preoperatively missed three small aneurysms.

Keywords

  • Aneurysm
  • Ruptured/diagnosis/etiology/surgery
  • Cerebral Angiography/methods
  • Follow-Up Studies
  • Humans
  • Intracranial Aneurysm/complications/diagnosis/surgery
  • Microsurgery/methods
  • Middle Aged
  • Neurosurgical Procedures/methods
  • Recurrence
  • Risk
  • Subarachnoid Hemorrhage/diagnosis/etiology/surgery
  • Surgical Instruments

UNIGE affiliation entities

UNIGE research groups

Citation (ISO format)

HOSAINEY, Sayied Abdol Mohieb, MELING, Torstein. A 54-year-old man with 12 intracranial aneurysms and familial subarachnoid hemorrhage: case report. In: Neurosurgical Review, 2016, vol. 39, n° 4, p. 711–716. doi: 10.1007/s10143-016-0769-9

Main files (1)

Article (Published version)

Identifiers

Journal ISSN

0344-5607
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Technical informations

Creation

29/11/2018 22:22:00

First validation

29/11/2018 22:22:00

Update

15/03/2023 15:11:17

Status update

15/03/2023 15:11:17

Last indexation

31/10/2024 12:07:59
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