Polycystic kidney disease and intracranial aneurysms. Early angiographic diagnosis and early operation for the unruptured aneurysm.
Polycystic kidney disease and intracranial aneurysms. Early angiographic diagnosis and early operation for the unruptured aneurysm.
复制标题
多囊肾病和颅内动脉瘤。
作者：
T. Wakabayashi;S. Fujita;Y. Ohbora;T. Suyama;N. Tamaki;S. Matsumoto
从1981年8月到1982年8月，作者对17名多囊肾病（PKD）患者进行了四支血管造影，这些患者没有神经功能缺损，也没有蛛网膜下腔出血史。 17例患者中发现7例未破裂动脉瘤（发生率为41.2%）。其中五个未破裂动脉瘤接受了预防性手术，没有出现死亡或发病情况。 17 名患者中有 9 名患有高血压，其中两名 (22.2%) 患有动脉瘤。在 8 名无高血压的患者中，5 名（62.5%）患有动脉瘤。这项研究表明，多囊肾和颅内动脉瘤的共存可能不是由于多囊肾同时发生的高血压所致，而可能是先天因素所致。作者强调对 PKD 患者未破裂动脉瘤进行早期诊断和早期手术的必要性。
From August, 1981, to August, 1982, the authors performed four-vessel angiography in 17 patients with polycystic kidney disease (PKD) who had no neurological deficit and no history of subarachnoid hemorrhage. Seven cases of unruptured aneurysms were found among these 17 patients (an incidence of 41.2%). Five of the unruptured aneurysms were operated on prophylactically, with no mortality or morbidity. Nine of the 17 patients had hypertension and, of these, two (22.2%) had aneurysms. Of the eight patients without hypertension, five (62.5%) had aneurysms. This study suggests that the coexistence of PKD and intracranial aneurysms might not be due to the hypertension that occurs concomitant with PKD, but instead may be attributable to congenital factors. The authors stress the necessity of early diagnosis and early operation for unruptured aneurysms in patients with PKD.