Cerebrovascular complications in autosomal dominant polycystic kidney disease(ADPKD).
- Author:
Jung Geon LEE
1
;
Curie AHN
;
Dae Yeon HWANG
;
Yeong Hwan HWANG
;
Ki Won KIM
;
Seo Jin LEE
;
Ki Young NA
;
Jin Suk HAN
;
Sung Gwon KIM
Author Information
1. Department of Internal Medicine, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Autosomal dominant polycystic kidney disease(ADPKD);
Intracranial aneurysms;
Cerebrovascular disease;
Magnetic resonance angiography(MRA)
- MeSH:
Adult;
Aneurysm;
Cerebral Hemorrhage;
Diagnosis;
Diagnosis, Differential;
Humans;
Hypertension;
Infarction;
Intracranial Aneurysm;
Ischemic Attack, Transient;
Medical Records;
Neurologic Manifestations;
Polycystic Kidney, Autosomal Dominant*;
Seoul;
Sex Ratio;
Subarachnoid Hemorrhage
- From:Korean Journal of Medicine
2000;58(1):75-82
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: ADPKD is one of the most common hereditary renal disease in adult and is a systemic disorder with a variety of cardiovascular manifestations. To elucidate the clinical characteristics of cerebrovascular complications in Korean ADPKD patients, we reviewed the medical records of ADPKD patients who was registered in ADPKD clinic of Seoul National University Hospital. METHODS: A total of 18 adult patients were included and their sex ratio was 8:10. The median age of ADPKD diagnosis was 45.5 year (range 19-85), and age at cerebrovascular accident(CVA) was 52 years(22-82). The median duration from hypertension to CVA was 8 years(0-30). RESULTS: There were 5 cases of infarction, 4 cases of intracerebral hemorrhage, 4 cases of subarachnoid hemorrhage, and 4 cases of transient ischemic attack. Other clinical parameters of ADPKD were not different from patients who were not complicated with CVA. Intracranial aneurysms were detected in 6 patients and their median age at diagnosis was 47.5 years(33-66). Four cases were manifested as subarachnoid hemorrhage. Five cases were diagnosed through TFCA, and two of them were revealed as multiple aneurysms. Five cases received surgical treatment and five of six cases improved without any neurologic sequeale. MR angiography(MRA) were taken in 16 asymptomatic patients, and multiple aneurysms were newly detected in one of them. CONCLUSION: Cerebrovascular complications in Korean ADPKD patients were not significantly different from western patients. Intracranial aneurysms must be included in differential diagnosis in ADPKD patients who manifest an acute neurologic symptoms, and high-risk group need to be screened selectively with MRA.
