Vertebral artery dissecting aneurysm with Cushing's syndrome: case report.
A 45-year-old woman presented with subarachnoid hemorrhage of World Federation of Neurosurgical Societies grade IV. Cerebral angiography showed a dissecting aneurysm of the right vertebral artery (VA). Internal trapping of the right VA with coils was performed. The postoperative course was uneventful, but she continued to demonstrate moon facies and experience amenorrhea. Computed tomography demonstrated an adrenal tumor. Laparoscopic adrenalectomy was performed under a diagnosis of Cushing's syndrome caused by an adrenal tumor. Overproduction of cortisol caused by Cushing's syndrome may be related to the development of cerebral aneurysm.
Kato
Masayasu
M
Department of Neurosurgery, Gifu Prefectural General Medical Center, Gifu, Japan. masayasu.kato@nifty.ne.jp
Tanaka
Yoshitaka
Y
Kuroda
Tatsuya
T
Nakashima
Toshihiko
T
Hattori
Tatsuaki
T
D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000150:complications / Q000473:pathology / Q000601:surgery*; D003480:Cushing Syndrome / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation / Q000379:methods; D020217:Vertebral Artery Dissection / Q000150:complications / Q000473:pathology / Q000601:surgery*