Ruptured aneurysm at the anterior wall of the internal carotid artery in a patient with systemic lupus erythematosus and secondary antiphospholipid syndrome

Masashi Chonan, Miki Fujimura, Takashi Inoue, Teiji Tominaga

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

A 60 year-old woman, who had a 45-year history of systemic lupus erythematosus (SLE) and secondary antiphospholipid syndrome, presented with subarachnoid hemorrhage due to a ruptured aneurysm at the anterior wall of the non-branching site of the right internal carotid artery. She underwent radical surgery on the day of onset. In light of the possibility of arterial dissection, we performed extracranial-intracranial bypass prior to careful exploration of the aneurysm. Based on the finding of saccular aneurysm, she ultimately underwent neck clipping of the aneurysm without complication. Postoperative course was uneventful, and she did not suffer from cerebral vasospasm. We recommend early surgical intervention in patients with aneurysmal SAH associated with SLE, while intrinsic pathologies of SLE such as fragile vascular structure and the risk for ischemic complication should be considered.

Original languageEnglish
Pages (from-to)675-680
Number of pages6
JournalNeurological Surgery
Volume39
Issue number7
Publication statusPublished - 2011 Jul 10

Keywords

  • Aneurysm at the anterior wall of the internal carotid artery
  • EC-IC bypass
  • SAH
  • Systemic lupus erythematosus

ASJC Scopus subject areas

  • Medicine(all)

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