J Korean Neurosurg Soc.  2013 Mar;53(3):187-189. 10.3340/jkns.2013.53.3.187.

A Case of Cerebral Aneurysmal Subarachnoid Hemorrhage in Fabry's Disease

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Ewha Womans University, Seoul, Korea. nshsg@ewha.ac.kr

Abstract

We report an unusual case of cerebral aneurysmal subarachnoid hemorrage (SAH) with Fabry's disease. A 42-year-old woman presented with aneurysmal SAH originated from a saccular aneurysm of the right posterior communicating artery. The patient was treated by an endovascular coil embolization of aneurysm. Postoperatively the patient recovered favorably without any neurological deficit. During her admission, the patient had a sign of proteinuria in urine analysis. The pathologic findings of kidney needle biopsy implied nephrosialidosis (mucolipidosis of lysosomal stroage disease), which is consistent with a Fabry's disease. It is uncommon that Fabry's disease is presented with aneurysmal SAH, especially in middle-aged patients, but could be a clinical concern. Further investigations are needed to reveal risk factors, vascular anatomy, and causative mechanisms of Fabry's disease with aneurysmal SAH.

Keyword

Fabry's diseas; Subarachnoid hemorrhage; Cerebral aneurysm

MeSH Terms

Aneurysm
Arteries
Biopsy, Needle
Fabry Disease
Female
Humans
Intracranial Aneurysm
Kidney
Mucolipidoses
Nephrosis
Proteinuria
Risk Factors
Subarachnoid Hemorrhage
Mucolipidoses
Nephrosis
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