Intracranial aneurysm as extra-renal manifestation of polycystic kidney disease: A case report

Violeta Rabrenovic, Slobodan Culafic, Milorad Rabrenovic, Tamara Dragovic, Sasa Tresnjic, Sinisa Masic, Radomir Matunovic, Svetlana Antic, Milica Petrovic, Dejan Pilcevic, Aleksandar Rakonjac
2018 Vojnosanitetski Pregled  
Introduction. Polycystic kidney disease is a hereditary kidney disease characterized by the occurrence of cysts (fluid-filled enlargements) in cortex or medula of the kidney, and is inherited in an autosomal dominant or autosomal recessive manner. In addition to multiple cysts in kidneys, there may be many extra-renal manifestations (cysts of the liver, pancreas, lungs, heart, etc.), among which the most serious one is intracranial aneurysms. Case report. A 57-year-old female patient with
more » ... stic kidney disease and stage IV renal failure was hospitalized at our clinic due to decreased renal function, the development of urinary tract infections, headaches and unregulated blood pressure despite the usual treatment. This patient also had a number of associated diseases: obesity, diabetes mellitus (the insulindependent type), hypothyroidism, and depression syndrome. After better regulation of blood pressure, resolved urinary tract infections and improved renal function, there were still persistent headaches (resulting in the excessive use of analgesics). With adequate preparation, multislice computed tomography (MSCT) angiography of blood vessels of the head was performed.
doi:10.2298/vsp160728020r fatcat:orhejnvpubhvzm7c23coyvrmqy