Süperdev Anevrizmaların Kitle Etkisi

Öz

Serebral anevrizmanın herhangi bir düzlemde boyutu 25 mm’den fazla ise dev anevrizma, 60 mm’den fazla ise süper dev anevrizma olarak adlandırılır. Anevrizmalı hastalar genellikle subaraknoid kanama kliniği ile başvururlar. Fakat anevrizmanın yeri ve boyutuna bağlı olarak kitle etkisinin oluşturduğu klinikle de karşımıza çıkabilirler. Bu vaka sunumunda epistaksis ve ardından bilinç kaybı gelişen, süper dev anevrizması olan, 72 yaşında bir bayan hastayı sunulmaktadır. Epistaksis süper dev anevrizması olan hastaların nadir bir başvuru şekli olabilir.

Anahtar Kelimeler

• Dev anevrizma, süper dev anevrizma, epistaksis

The Mass Effect of Supergiant Aneurysms

Öz

A cerebral aneurysm larger than 25 mm in any plane is known as a giant aneurysm, and one greater than 60 mm as a supergiant aneurysm. Patients with aneurysms usually present with subarachnoid hemorrhage. However, a mass effect dependent on the aneurysm site and dimension may also be encountered in clinical practice. This case report describes a 72-year-old female patient with epistaxis and subsequent loss of consciousness and with a supergiant aneurysm. Epistaxis is a rare form of presentation of patients with supergiant aneurysms

Anahtar Kelimeler

• Giant aneurysm, supergiant aneurysm, epistaxis

Kaynakça

1. Yasargil MG. Giant intracranial aneurysms. In Yasargil MG, MD, Editor. Microneurosurgery. 2nd ed. New York: Thieme-Straton; 1984.p.296-304.
2. Sundt TM, Piepgras DG, Fode NC. Giant intracranial aneurysms. Clin Neurosurg 1991; 37: 116-54.
3. Cahil DW. Supergiant anterior circulation aneurysms. Neurol Res 1992: 14: 204-7.
4. Coppadoro A, Citerio G. Subarachnoid hemorrhage: an update for the intensivist. Minerva Anestesiol 2011; 77: 74-84.
5. Fontanarosa PB. Recognition of subarachnoid hemorrhage. Ann Emerg Med 1989; 18: 1199-205. [CrossRef]
6. Francesco M. Giant aneurysm of pericallosal artery. Neurosurgery 1990: 26: 703-6. [CrossRef]
7. Barrow DL, Alleyne C. Natural history of giant intracranial aneurysms and indications for intervention. Clin Neurosurg 1995; 42: 214-44.
8. Ravi Kumar CV, Palur RS, Satish S, Rao BR. Vertebral artery aneurysms. Neurol India 2000; 48: 161-3.

9. Bhat AR, Afzalwani M, Kirmani AR. Subarachnoid hemorrhage in Kash- mir: Causes, risk factors, and outcome. Asian J Neurosurg 2011; 6: 57-71. [CrossRef]
10. Hackman JL, Johnson MD, Ma OJ. Spontaneous subarachnoid and intracerebral hemorrhage. In Judith E. Tintinally, MD, MS, Editor. Emer- gency Medicine. 7th ed. New York: McGraw-Hill; 2011.p.1118-22.
11. Kotecha B, Fowler S, Harkness P, Walmsley J, Brown P, Topham J. Manage- ment of epistaxis: a national survey. Ann R Coll Surg Engl 1996; 78: 444-6.