Limits...
Cerebral aneurysm presenting with aseptic meningitis: a case report.

Saleem MA, Macdonald RL - J Med Case Rep (2013)

Bottom Line: This case highlights the potential importance of new-onset headache, even in the absence of other worrisome features, in a patient with a cerebral aneurysm.A 61-year-old Caucasian woman presented with nonspecific insidious onset of headache, a superior cerebellar artery aneurysm and cerebrospinal fluid lymphocytosis.Headaches are common and may occur incidentally in patients with cerebral aneurysms, but new-onset headache, even if mild, should prompt consideration for timely aneurysm repair.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Neurosurgery, St, Michael's Hospital, Labatt Family Centre of Excellence in Brain Injury and Trauma Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute of St, Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. macdonaldlo@smh.ca.

ABSTRACT

Introduction: This case highlights the potential importance of new-onset headache, even in the absence of other worrisome features, in a patient with a cerebral aneurysm.

Case presentation: A 61-year-old Caucasian woman presented with nonspecific insidious onset of headache, a superior cerebellar artery aneurysm and cerebrospinal fluid lymphocytosis. She had a subarachnoid hemorrhage 21 days later, at which time the aneurysm had enlarged. The aneurysm was repaired endovascularly and the patient recovered with a modified Rankin score of 1.

Conclusions: This case suggests that new onset of chronic headache in a patient with an unruptured aneurysm may be due to aneurysm growth and can be associated with cerebrospinal fluid lymphocytosis. Headaches are common and may occur incidentally in patients with cerebral aneurysms, but new-onset headache, even if mild, should prompt consideration for timely aneurysm repair.

No MeSH data available.


Related in: MedlinePlus

Cerebral angiogram. Lateral (A) and anteroposterior (B) catheter angiograms, the left vertebral artery injection showing the right superior cerebellar artery aneurysm. The aneurysm was repaired by endovascular coiling, leaving minimal or no residual neck visible on the lateral (C) and anteroposterior (D) views after treatment. Gadolinium-enhanced magnetic resonance angiography seven days later shows a small residual neck (E, F). At the last follow-up 51 months later, there has been some growth of the residual neck on magnetic resonance angiography (G, H).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4016604&req=5

Figure 3: Cerebral angiogram. Lateral (A) and anteroposterior (B) catheter angiograms, the left vertebral artery injection showing the right superior cerebellar artery aneurysm. The aneurysm was repaired by endovascular coiling, leaving minimal or no residual neck visible on the lateral (C) and anteroposterior (D) views after treatment. Gadolinium-enhanced magnetic resonance angiography seven days later shows a small residual neck (E, F). At the last follow-up 51 months later, there has been some growth of the residual neck on magnetic resonance angiography (G, H).

Mentions: Eighteen hours later, our patient underwent endovascular coiling of her aneurysm. This was done using balloon remodeling. There was a small residual portion of aneurysm neck filling (residual neck). Our patient recovered and at last follow-up 51 months later, had a modified Rankin score of 1. She complained of fatigue and occasional headaches but was fully functional. A magnetic resonance angiogram (MRA) showed a slight increase in the size of the residual aneurysm neck (FigureĀ 3).


Cerebral aneurysm presenting with aseptic meningitis: a case report.

Saleem MA, Macdonald RL - J Med Case Rep (2013)

Cerebral angiogram. Lateral (A) and anteroposterior (B) catheter angiograms, the left vertebral artery injection showing the right superior cerebellar artery aneurysm. The aneurysm was repaired by endovascular coiling, leaving minimal or no residual neck visible on the lateral (C) and anteroposterior (D) views after treatment. Gadolinium-enhanced magnetic resonance angiography seven days later shows a small residual neck (E, F). At the last follow-up 51 months later, there has been some growth of the residual neck on magnetic resonance angiography (G, H).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4016604&req=5

Figure 3: Cerebral angiogram. Lateral (A) and anteroposterior (B) catheter angiograms, the left vertebral artery injection showing the right superior cerebellar artery aneurysm. The aneurysm was repaired by endovascular coiling, leaving minimal or no residual neck visible on the lateral (C) and anteroposterior (D) views after treatment. Gadolinium-enhanced magnetic resonance angiography seven days later shows a small residual neck (E, F). At the last follow-up 51 months later, there has been some growth of the residual neck on magnetic resonance angiography (G, H).
Mentions: Eighteen hours later, our patient underwent endovascular coiling of her aneurysm. This was done using balloon remodeling. There was a small residual portion of aneurysm neck filling (residual neck). Our patient recovered and at last follow-up 51 months later, had a modified Rankin score of 1. She complained of fatigue and occasional headaches but was fully functional. A magnetic resonance angiogram (MRA) showed a slight increase in the size of the residual aneurysm neck (FigureĀ 3).

Bottom Line: This case highlights the potential importance of new-onset headache, even in the absence of other worrisome features, in a patient with a cerebral aneurysm.A 61-year-old Caucasian woman presented with nonspecific insidious onset of headache, a superior cerebellar artery aneurysm and cerebrospinal fluid lymphocytosis.Headaches are common and may occur incidentally in patients with cerebral aneurysms, but new-onset headache, even if mild, should prompt consideration for timely aneurysm repair.

View Article: PubMed Central - HTML - PubMed

Affiliation: Division of Neurosurgery, St, Michael's Hospital, Labatt Family Centre of Excellence in Brain Injury and Trauma Research, Keenan Research Centre of the Li Ka Shing Knowledge Institute of St, Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada. macdonaldlo@smh.ca.

ABSTRACT

Introduction: This case highlights the potential importance of new-onset headache, even in the absence of other worrisome features, in a patient with a cerebral aneurysm.

Case presentation: A 61-year-old Caucasian woman presented with nonspecific insidious onset of headache, a superior cerebellar artery aneurysm and cerebrospinal fluid lymphocytosis. She had a subarachnoid hemorrhage 21 days later, at which time the aneurysm had enlarged. The aneurysm was repaired endovascularly and the patient recovered with a modified Rankin score of 1.

Conclusions: This case suggests that new onset of chronic headache in a patient with an unruptured aneurysm may be due to aneurysm growth and can be associated with cerebrospinal fluid lymphocytosis. Headaches are common and may occur incidentally in patients with cerebral aneurysms, but new-onset headache, even if mild, should prompt consideration for timely aneurysm repair.

No MeSH data available.


Related in: MedlinePlus