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多囊肾病(PKD)与颅内动脉瘤并存的病例极告屡见不鲜,根据尸检材料,其发病率约为17%.严重肾功能不全的PKD病人一旦动脉瘤破裂,预后不佳,故有必要对颅内动脉瘤作出早期诊断和预防性手术治疗.但迄今很少有人强调在动脉瘤破裂前行脑血管造影的必要性.作者对17例PKD患者,通过4条脑血管造影,以检查尚未破裂的动脉瘤.17例患者,来自10个不同家族,男性7例,女性10例,年龄为32～66岁,平均42岁,均无神经系统体症和SAH史.4例因腹痛、2例因血尿、其余11例因兄弟中患有PKD,有血压高和肾功不全,经腹部CT扫描始发现PKD的.同期内还对36例颅内动
The cases of polycystic kidney disease (PKD) coexisting with intracranial aneurysms are very common. According to the autopsy materials, the incidence rate is about 17%. Once the severe renal insufficiency PKD patients have aneurysm rupture, the prognosis is poor, so it is necessary to Intracranial aneurysms make early diagnosis and prophylactic surgery. However, few people have emphasized the necessity of cerebral angiography before rupture of the aneurysm. The author of 4 cases of PKD patients, through 4 cerebral angiography to check not yet ruptured The aneurysms. 17 patients, from 10 different families, 7 males and 10 females, aged 32 to 66 years, mean 42 years old, all had no neurological systemic disorder and history of SAH. 4 cases were due to abdominal pain, 2 cases. Due to hematuria, the remaining 11 patients had PKD in their brothers and had high blood pressure and renal insufficiency. PKD was detected on CT scanning of the abdomen. During the same period, 36 cases of intracranial movement were also observed.