[Therapy of cerebral aneurysms and arteriovenous vascular malformations in hereditary hemorrhagic telangiectasia (Rendu-Osler-Weber disease)].
Little is known about the course of cerebral aneurysms in hereditary hemorrhagic teleangiectasia (Rendu-Osler-Weber's disease). Thus, therapeutic decisions are often difficult. For the first time, we report the successful embolization of an arteriovenous fistula and multiple aneurysms of the posterior inferior cerebellar artery (PICA) of a patient with Rendu-Osler-Weber's disease after subarachnoid hemorrhage. Two years later she suffered another severe intracranial hemorrhage. Angiography revealed an aneurysm in the same artery (PICA), which spontaneously disappeared within 2 months. Spontaneous regression of aneurysms in Rendu-Osler-Weber's disease has not been reported before.
Helmchen
C
C
Neurologische Klinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität München.
Nahser
H C
HC
Yousry
T
T
Witt
T N
TN
Kühne
D
D
D002531:Cerebellum / Q000098:blood supply; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000235:genetics / Q000628:therapy*; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000235:genetics / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009460:Neurologic Examination; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000235:genetics / Q000628:therapy; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000175:diagnosis / Q000235:genetics / Q000628:therapy*
Therapie zerebraler Aneurysmen und arteriovenöser Gefässmalformationen bei der hereditären hämorrhagischen Teleangiektasie (Morbus Rendu-Osler-Weber).