J Korean Neurosurg Soc.  2005 Feb;37(2):137-140.

Cerebral Aneurysm and Aortic Coarctation in a 46, XY Female. Is it Causal or Coincidental?

• Ju SM
• Yi HJ
• Ko Y
• Kim KM

Abstract

Most vascular disorders tend to affect both the brain and heart, and among them, a clinical syndrome constituting cerebral aneurysm and aortic coarctation(AC) has been well recognized. Persistent hypertensive impact to the cerebral vasculature with developmental anomaly of the neural crest, precursor of ectomenchymal, would be closely associated with development of the cerebral aneurysm in AC. Gonadal steroid hormone, a guardian of the cardiovascular system, has been known for its protective effects on the vascular wall. Gonadal steroid hormone (androgen) insensitivity such as 46, XY female syndrome may increase the risk of hypertention and subsequent vascular anomalies. The authors report on a 46-year-old 46, XY female patient with AC who underwent surgical clipping of the ruptured cerebral aneurysm. Clinical implications and proposed pathogenetic mechanisms of aneurysm in this intersex syndrome are presented and discussed.

Keyword

Aneurysm; Cerebral; Aortic coarctation; Hypertension; Steroid hormone; Gonadal; Intersex syndrome

MeSH Terms

Aneurysm
Aortic Coarctation*
Brain
Cardiovascular System
Female*
Gonads
Heart
Humans
Hypertension
Intracranial Aneurysm*
Middle Aged
Neural Crest
Surgical Instruments