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Simultaneous hemorrhage in intracranial aneurysms and in renal cyst in a case of polycystic kidney disease Full Text
Saudi Journal of Kidney Diseases and Transplantation, 07/11/2012
Agrawal A et al. – A 27–year–old gentleman presented with progressive headache and intermittent vomiting of one month duration. Initial computerized tomography (CT) scan and magnetic resonance imaging/angiography revealed a large mass lesion in the right temporal fossa. Over the previous 15 days, he developed progressive weakness in his left upper and lower limbs, and the headache worsened in severity. A repeat of CT scan showed an evidence of aneurysmal bleed and a large temporal lobe hematoma. The patient underwent urgent evacuation of the intracerebral of hematoma and excision of the redundant aneurysmal sac. The patient made excellent recovery in the post–operative period; however, for him, the pain abdomen was persisting. Detailed work–up with contrast–enhanced abdominal CT scan revealed bilateral multiple cysts in the kidneys with evidence of intracystic hemorrhage on the left side.