Anévrismes intracrâniens multiples

  • Rachid Ammor
  • Assou Ajja

Abstract

A 33 years old woman, treated for hypertension on monotherapy for a year, was admitted on emergency for sudden onset headache. Clinical examination revealed a conscious patient, blood pressure= 13/7, with the presence of frank meningeal syndrome, no fever. Cerebral CT showed subarachnoid hemorrhage at the right middle cerebral valley. The arteriography objectified three aneurysmal dilations at the right posterior communicating artery of about 8.3mm, also at the M2 segment of the right middle cerebral arterys of about 4 mm (A) and finally at the left cerebral bifurcation of about 4mm (B). The patient underwent endovascular treatment of the two right aneurysms and was given a three months appointment to secure the aneurysm. The prevalence of intracranial aneurysms in the general population is evaluated from 1 to 5%. Only 15% of these patients have multiple aneurysms and 7% of them have more than four aneurysms. The therapeutic strategy is to first secure the aneurysm bled and subsequently treating other aneurysms according to their size and risk of bleeding.

Pan African Medical Journal 2016; 23

Author Biographies

Rachid Ammor
Neurosurgery, Military Hospital My Ismail, Meknes, Morocco
Assou Ajja
Neurosurgery, Military Hospital My Ismail, Meknes, Morocco
Published
2016-06-15
Section
Articles

Journal Identifiers


eISSN: 1937-8688