Abstract
The authors report the case of a pediatric patient with bilateral fibromuscular hyperplasia (FMH) of the renal arteries who sustained a subarachnoid hemorrhage (SAH) caused by the rupture of a superior cerebellar artery aneurysm. The aneurysm was successfully treated with microsurgical clip occlusion. The association between renal artery FMH and aneurysmal SAH is extremely rare and incompletely understood. There are six previously published cases in the English literature; only one case involved direct aneurysm treatment and none involved the posterior circulation. In addition to presenting this case, the authors discuss the complexities involved in treating these patients from a technical and conceptual standpoint.
MeSH terms
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Aneurysm, Ruptured / diagnosis*
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Aneurysm, Ruptured / surgery*
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Angioplasty, Balloon
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Aortography
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Arteries / pathology
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Arteries / surgery
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Cerebellar Diseases / diagnosis
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Cerebellar Diseases / surgery*
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Cerebellum / blood supply*
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Cerebral Angiography
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Child
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Female
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Fibromuscular Dysplasia / complications*
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Fibromuscular Dysplasia / diagnosis
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Follow-Up Studies
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Humans
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Hypertension, Renovascular / complications*
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Hypertension, Renovascular / diagnosis
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Image Processing, Computer-Assisted
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Imaging, Three-Dimensional
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Infarction, Middle Cerebral Artery / diagnosis
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Infarction, Middle Cerebral Artery / therapy
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Microsurgery
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Neurologic Examination
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Postoperative Complications / diagnosis
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Postoperative Complications / therapy
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Renal Artery Obstruction / complications*
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Renal Artery Obstruction / diagnosis
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Subarachnoid Hemorrhage / diagnosis
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Subarachnoid Hemorrhage / surgery*
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Surgical Instruments
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Tomography, X-Ray Computed
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Vasospasm, Intracranial / diagnosis
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Vasospasm, Intracranial / therapy