Ruptured superior cerebellar artery aneurysm in a child with bilateral fibromuscular hyperplasia of the renal arteries: case report and review of the literature.
The authors report the case of a pediatric patient with bilateral fibromuscular hyperplasia (FMH) of the renal arteries who sustained a subarachnoid hemorrhage (SAH) caused by the rupture of a superior cerebellar artery aneurysm. The aneurysm was successfully treated with microsurgical clip occlusion. The association between renal artery FMH and aneurysmal SAH is extremely rare and incompletely understood. There are six previously published cases in the English literature; only one case involved direct aneurysm treatment and none involved the posterior circulation. In addition to presenting this case, the authors discuss the complexities involved in treating these patients from a technical and conceptual standpoint.
O'Shaughnessy
Brian A
BA
Department of Neurological Surgery, The Feinberg School of Medicine, McGaw Medical Center, Northwestern University, Chicago, Illinois 60611, USA.
Eddleman
Christopher
C
Bendok
Bernard R
BR
Parkinson
Richard J
RJ
Awad
Issam A
IA
Batjer
H Hunt
HH
D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000601:surgery*; D000800:Angioplasty, Balloon; D001027:Aortography; D001158:Arteries / Q000473:pathology / Q000601:surgery; D002526:Cerebellar Diseases / Q000175:diagnosis / Q000601:surgery*; D002531:Cerebellum / Q000098:blood supply*; D002533:Cerebral Angiography; D002648:Child; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D006978:Hypertension, Renovascular / Q000150:complications* / Q000175:diagnosis; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D020244:Infarction, Middle Cerebral Artery / Q000175:diagnosis / Q000628:therapy; D008866:Microsurgery; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy; D012078:Renal Artery Obstruction / Q000150:complications* / Q000175:diagnosis; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed; D020301:Vasospasm, Intracranial / Q000175:diagnosis / Q000628:therapy