J Korean Neurosurg Soc.
1992 Jun;21(6):717-722.
Ruptured Intracranial Aneurysms in Patients with Polycystic Kidney Disease: Report of Two Cases
- Affiliations
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- 1Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea.
- 2Department of Radiology, Soonchunhyang University Chonan Hospital, Chonan, Korea.
Abstract
- The authors present two cases of ruptured intercraial aneurysm s associated with nearly total destruction of kidney function due to polycystic kindney in one aged 35 years and the other aged 53 years. One patient had a aneurysm on anterior communicating artery and the other had three aneurysms located in cavenous and bifurcated portions of internal carotid artery, and anterior communicating artery. They were successfully treated by a direct surgical approach. We stress surgical management in a state of good consciousness regardless of poor kidney function, because the risk of early death by rebleeding is seemed to be higher than that by renal failure or others.