title: Vertebral artery dissecting aneurysm with Cushing's syndrome: case report.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Gifu Prefectural General Medical Center, Gifu, Japan. masayasu.kato@nifty.ne.jp
authors.forename: Masayasu
authors.initials: M
authors.lastname: Kato
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Kuroda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Nakashima
authors.forename: Tatsuaki
authors.initials: T
authors.lastname: Hattori
mesh_terms: 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*