Ruptured large basilar artery aneurysm associated with an arteriovenous malformation in hereditary hemorrhagic telangiectasia.

Abstract:

:A 53-year-old woman presented with intracranial hemorrhage caused by a ruptured cerebral aneurysm. Digital subtraction angiography revealed a large aneurysm arising from the top of the basilar artery and a Spetzler-Martin grade 3 arteriovenous malformation. Endovascular embolization of the aneurysm was completed with a slight neck remnant. Medical examination confirmed that she suffered from hereditary hemorrhagic telangiectasia (HHT). HHT is a rare autosomal dominant disorder characterized by multiple mucocutaneous telangiectasia and associated vascular malformations. This case suggests that the prognosis for HHT patients with treatable aneurysms should be as good as that of healthy individuals. Consequently, neurosurgeons should suspect underlying HHT in all patients with cerebral vascular malformations.

authors

Ishii D,Takechi A,Seyama G,Sogabe T

doi

10.2176/nmc.52.502

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

502-5

issue

7

eissn

0470-8105

issn

1349-8029

pii

DN/JST.JSTAGE/nmc/52.502

journal_volume

52

pub_type

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