CerebraI Aneurysm Associated with AduIt PIoycystic Kidney Disease -Report of 2 Cases-

Abstract

Two Cases of ruptured cerebral aneurysms associated with polycystic kidney diseases (PKD) are presented. Case 1 is a 60-year-old woman diagnosed as PKD after rupture of an anterior communicating artery aneurysm. Eleven days after successful aneurysmal clipping, she died of sudden massive intra-abdominal bleeding from kidney rupture. Case 2 is a 60-year-old man diagnosed as aneurysmal rupture 15 years after diagnosis of PKD. After anterior and posterior communicating artery aneurysms were clipped he recovered well. Since cerebral aneurysms is far more prevalent in patients with PKD than in the general population and aneurysm rupture is a leading cause of death, screening of the aneurysm by digital subtraction angiography or magnetic resonance angiography and prophylactic surgery of the aneurysm should be done.