Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(03): 218-221
DOI: 10.1055/s-0036-1586238
Case Report | Relato de Caso
Thieme Publicações Ltda Rio de Janeiro, Brazil

Cerebral Aneurysm in Takayasu's Arteritis: A Case Report and Review of the Literature

Aneurisma cerebral na arterite de Takayasu: relato de caso e revisão da literatura
Breno Bezerra Arruda Câmara
1   Instituto de Ensino e Pesquisa, Santa Casa de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
2   Neurosurgery, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
,
Marcos Antônio Dellaretti Filho
2   Neurosurgery, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
,
Carlos Eduardo Romeu de Almeida
2   Neurosurgery, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
,
Daniel Espíndola Ronconi
2   Neurosurgery, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
,
Marco Aurélio Vieira Couto
2   Neurosurgery, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
,
Renata Ferreira de Souza
2   Neurosurgery, Santa Casa de Misericórdia de Belo Horizonte, Belo Horizonte, Minas Gerais, Brazil
› Institutsangaben
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Publikationsverlauf

02. April 2016

08. Juni 2016

Publikationsdatum:
03. August 2016 (online)

Abstract

Cerebral aneurysms are rarely observed in patients with Takaysu's arteritis. To our knowledge, this report presents the first case described in Brazil. Hemodynamic stress caused by obstructions of the cervical vessels developes cerebral aneurysms in these patients and they have higher rates of multiple and posterior circulation aneurysms than general population. In the majority of cases, microsurgical treatment is indicated mainly due to changes in the cervical vessels that preclude an endovascular approach.

Resumo

Aneurismas cerebrais são raramente observados em pacientes com arterite de Takayasu. Este é o primeiro caso desta associação descrito no Brasil. O estresse hemodinâmico causado pelas obstruções vasculares cervicais desenvolve os aneurismas cerebrais nestes pacientes e eles apresentam maiores taxas de aneurismas múltiplos e de acometimento da circulação cerebral posterior. Na maioria dos casos, o tratamento microcirúrgico está indicado pois as alterações anatômicas dos vasos cervicais dificultam a abordagem endovascular.

 
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