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Dissecting intracranial aneurysm

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Summary

A case of spontaneous dissecting aneurysm of the right internal carotid and middle cerebral arteries is presented in a 13-year-old boy. The pathogenetic factors incriminated in previously reported cases are reviewed and the pathological findings are discussed. The abnormalities of the internal elastic lamina as seen in this patient have been observed in numerous cases of intracranial dissecting aneurysms. It is concluded that these defects play an important role in the development of dissection.

Zusammenfassung

Es wird über einen Fall von einem 13jährigen Jungen mit Schlaganfall und spontanem dissezierendem Aneurysma berichtet. Die angenommenen pathogenetischen Faktoren und die pathologischen Befunde der in der Literatur bereits beschriebenen Fälle werden diskutiert. Die Veränderungen der Lamina elastica interna, die auch in dem vorliegenden Fall gefunden wurden, sind in vielen Fällen der intrakraniellen dissezierenden Aneurysmata beobachtet worden. Aufgrund dieser Beobachtung darf darauf geschlossen werden, daß Schädigung dieser Art eine wichtige Rolle in der Entstehung der Dissektion spielen kann.

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References

  1. Adelman LS, Doe FD, Sarnat HB (1974) Bilateral dissecting aneurysm of the internal carotid arteries. Acta Neuropathol (Berl) 29:93–97

    Google Scholar 

  2. Anderson R, Schechter MM (1959) A case of spontaneous dissecting aneurysm of the internal carotid artery. J Neurol Neurosurg Psychiatr 22:195–201

    Google Scholar 

  3. Austin MG, Schaefer RF, Marfan's syndrome with unusual blood vessel manifestations. Arch Pathol 64: 205–209

  4. Carlson CB, Harvey FH, Loop J (1973) Progressive alternating hemiplegia in early childhood with basal arterial stenosis and telangiectasia (moya-moya syndrome) Neurology 23:734–744

    Google Scholar 

  5. Chang V, Rewcastle NB, Harvood-Nash DC, Norman MG (1975) Bilateral dissecting aneurysms of the intracranial internal carotid arteries in an 8-year-old boy. Neurology 25:573–579

    Google Scholar 

  6. Giedke H, Kriebel J, Sindermann F (1975) Dissecting aneurysm of the petrous portion of the internal carotid artery. Case report and review of previous cases. Neuroradiology 10:121–124

    Google Scholar 

  7. Grosman H, Fornasier NL, Bondar D, Livingston KE, Platts ME, (1980) Dissecting aneurysm of the cerebral arteries. J Neurosurg 53:693–697

    Google Scholar 

  8. Hassler O (1961) Morphological studies on the large cerebral arteries. Acta Psychiatr Scand (Suppl) 154:1–145

    Google Scholar 

  9. Hassler O, Kihl B (1962) Areas of weakly staining elastica lamella in the cerebral arteries of patients with intracranial aneurysms. Acta Pathol Microbiol Scand 54:8–14

    Google Scholar 

  10. Harvey FH, Alvord EC (1972) Juvenile cerebral arteriosclerosis and other cerebral arteriopathies of childhood — six autopsied cases. Acta Neurol Scand 48:479–509

    Google Scholar 

  11. Hochberg FH, Bean C, Fisher CM, Roberson GH (1975) Stroke in a 15-year-old girl secondary to terminal carotid dissection. Neurology 25:725–729

    Google Scholar 

  12. Hyland HH (1933) Thrombosis of intracranial arteries. Arch Neurol Psychiatr 30:342–356

    Google Scholar 

  13. Johnson AC, Graves VB, Pfaff JP (1977) Dissecting aneurysm of intracranial arteries. Surg Neurol 7:49–52

    Google Scholar 

  14. Martini E (1979) Intracranial dissecting aneurysm. Report of a case Arch Psychiatr Nervenkr 227:17–21

    Google Scholar 

  15. Nedwich A, Haft H, Tellern M, Kauffman L (1963) Dissecting aneurysm of cerebral arteries: review of literature and report of a case. Arch Neurol 9:477–485

    Google Scholar 

  16. Norman RM, Ulrich H (1957) Dissecting aneurysm of the middle cerebral artery as a cause of acute infantile hemiplegia. J Pathol Bacteriol 73:580–589

    Google Scholar 

  17. Pilz P, Hartjes H (1976) Fibromuscular dysplasia and multiple dissecting aneurysms of intracranial arteries. A further cause of moyamoya syndrome. Stroke 7:393–398

    Google Scholar 

  18. Robert F, Maltais R, Giroux JC (1964) Dissecting aneurysm of middle cerebral artery. J Neurosurg 21:413–415

    Google Scholar 

  19. Sato O Bascom JF, Logothetis J (1971) Intracranial dissecting aneurysms. J Neurosurg 35:483–487

    Google Scholar 

  20. Shillito J Jr (1964) Carotid arteritis, a cause of hemiplegia in childhood. J Neurosurg 21:540–551

    Google Scholar 

  21. Spudis EV, Scharyj M, Alexander E, Martin F (1962) Dissecting aneurysms in the neck and head. Neurology 12:867–875

    Google Scholar 

  22. Stehbens WF (1972) Pathology of the cerebral blood vessels. CV Mosby Co. (1972) St Louis

    Google Scholar 

  23. Szabo J (1939) Jobb oldali csigolyaveröér csöves hasadása (Aneurysma dissecans). Budapesti Orv Ujság 37:201–205

    Google Scholar 

  24. Turnbull HM (1915) Alterations in arterial structure and their relation to syphilis. Qu J Med 8:204–254, cited by Wolman 1959 [27]

    Google Scholar 

  25. Watson AJ (1956) Dissecting aneurysm of arteries other than aorta. J Pathol 92:439–449

    Google Scholar 

  26. Wisoff HS, Youkers NY, Rothballer AB (1961) Cerebral arterial thrombosis in children. Arch Neurol 4:258–267

    Google Scholar 

  27. Wolman L (1959) Cerebral dissecting aneurysms. Brain 82:276–291

    Google Scholar 

  28. Yonas H, Agamanolis D, Takaoka Y, White RJ (1977) Dissecting intracranial aneurysms. Surg Neurol 8:407–415

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Neurology and Psychiatry, University of Debrecen Medical School, H-4012, Debrecen, Hungary

    K. Hegedüs

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  1. K. Hegedüs
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Hegedüs, K. Dissecting intracranial aneurysm. Arch Psychiatr Nervenkr 232, 25–32 (1982). https://doi.org/10.1007/BF00343362

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  • DOI: https://doi.org/10.1007/BF00343362

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