Bleb formation in small unruptured intracranial aneurysm as a predictor of early rupture

Small unruptured aneurysms are thought to have a low risk of rupture, but the management of such lesions is still controversial. A 73-year-old man with a small anterior communication artery aneurysm, 4 mm in diameter, while on follow-up, developed an aneurysmal subarachnoid hemorrhage 2 weeks after...

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Detalles Bibliográficos
Autores principales: Yamano, Akinari, Yanaka, Kiyoyuki, Uemura, Kazuya, Onuma, Kuniyuki, Nakamura, Kazuhiro, Ishikawa, Eiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6007435/
https://www.ncbi.nlm.nih.gov/pubmed/29977511
http://dx.doi.org/10.1093/jscr/rjy117
Descripción
Sumario:Small unruptured aneurysms are thought to have a low risk of rupture, but the management of such lesions is still controversial. A 73-year-old man with a small anterior communication artery aneurysm, 4 mm in diameter, while on follow-up, developed an aneurysmal subarachnoid hemorrhage 2 weeks after the detection of a newly emerged bleb on the surface of the aneurysm. In conclusion, the formation of a bleb should be considered as a warning sign of an impending rupture, and treatment should be provided even for patients with small aneurysms.

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