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Journal of Korean Neurosurgical Society 1992;21(6): 717-722. |
Ruptured Intracranial Aneurysms in Patients with Polycystic Kidney Disease: Report of Two Cases. |
Dong Keun Hyun, Hack Gun Bae, Kyeong Seok Lee, Il Gyu Yun, Bark Jang Byun, Won Kyung Bae |
1Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea. 2Department of Radiology, Soonchunhyang University Chonan Hospital, Chonan, Korea. |
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ABSTRACT |
The authors present two cases of ruptured intercraial aneurysm s associated with nearly total destruction of kidney function due to polycystic kindney in one aged 35 years and the other aged 53 years. One patient had a aneurysm on anterior communicating artery and the other had three aneurysms located in cavenous and bifurcated portions of internal carotid artery, and anterior communicating artery. They were successfully treated by a direct surgical approach. We stress surgical management in a state of good consciousness regardless of poor kidney function, because the risk of early death by rebleeding is seemed to be higher than that by renal failure or others. |
Key Words:
Ruptured intracranial aneurysm; Polycystic kidney |
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