Hausser C O, Ouaknine G E, Primeau F, Kuchel O
Rev Neurol (Paris). 1985;141(1):46-8.
Multiple intracranial aneurysms have been reported in association with polycystic disease of the kidney, brain tumor, pituitary adenoma and coarctation of the aorta. We report the association of multiple aneurysms with primary hyperaldosteronism due to bilateral adrenal hyperplasia in an 18 year old left-handed man who presented with subarachnoid hemorrhage and arterial hypertension. We report the excellent outcome of this patient in spite of a difficult and surgical management. Ligation of all three intracranial aneurysms was performed after an extra-intracranial arterial bypass was done as a protective measure.
已有报道称，多发性颅内动脉瘤与肾多囊病、脑肿瘤、垂体腺瘤及主动脉缩窄有关。我们报告了一名18岁左利手男性，因双侧肾上腺增生导致原发性醛固酮增多症，并伴有多发性动脉瘤，该患者表现为蛛网膜下腔出血和动脉高血压。尽管手术治疗困难，但该患者预后良好。作为一种保护措施，在进行颅外-颅内动脉搭桥术后，对所有三个颅内动脉瘤进行了结扎。
