Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Case Reports
Recurrence of Subarachnoid Hemorrhage Due to the Rupture of Cerebral Aneurysms in a Patient With Sjögren's Syndrome
—Case Report—
Kentaro HAYASHIYoichi MOROFUJIKazuhiko SUYAMAIzumi NAGATA
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JOURNAL OPEN ACCESS

2010 Volume 50 Issue 8 Pages 658-661

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Abstract

A 52-year-old woman with Sjögren's syndrome presented with multiple cerebral aneurysms, which resulted in recurrent subarachnoid hemorrhage (SAH) manifesting as severe headache. Computed tomography (CT) showed SAH. Cerebral angiography revealed aneurysms of the anterior communicating artery and the left middle cerebral artery. The necks of the aneurysms were successfully clipped. Postoperative course was uneventful and she was discharged without neurological deficit. Thirteen years later, she suddenly lost consciousness and was brought to our hospital. CT demonstrated recurrence of SAH. Cerebral angiography revealed cerebral aneurysms of the right internal carotid artery and the right middle cerebral artery. The clipped aneurysms were stable. The internal carotid artery aneurysm was successfully treated with endovascular coil embolization. However, she regained no neurological function and died. Patients with Sjögren's syndrome may develop cerebral aneurysm complicated with SAH.

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© 2010 by The Japan Neurosurgical Society

This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.
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