November 1958

Ruptured Aneurysm of the Circle of Willis Associated with Polycystic Kidneys

Author Affiliations

New York

From the Neurosurgical Service, The Mount Sinai Hospital, and The Bronx Hospital.

AMA Arch Intern Med. 1958;102(5):806-810. doi:10.1001/archinte.1958.00260220122013

"Berry" aneurysms of the circle of Willis and polycystic disease of the kidneys are presumed to be the result of congenital developmental defects. Both occur relatively infrequently. Their simultaneous occurrence in the same patient is more or less of a medical curiosity. Suter 1 reported 27 congenital aneurysms of the basal cerebral arteries in 5960 consecutive autopsies. In this group of 27, polycystic kidneys were found in 2. Bigelow 2 reviewed the entire problem in an excellent contribution in 1953. He collected 32 proved examples of the combination of intracranial aneurysm and polycystic kidneys from the literature. He added three cases from his own autopsy experience.

Report of a Case  A 42-year-old single woman employed as a clerk had always been in good health, except for recur- ring migraine headaches, until five weeks before she came under our observation. At that time she had the sudden onset of headache, nausea,

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