Berry aneurysm

on 17.3.09 with 0 comments



  • most common cerebral aneurysm

  • most often occur around the circle of Willis, particularly at bifurcations

  • 20-30% have multiple

Angiogram and photo

  • looks like a white raspberry

Complications

  • rupture and subarachnoid hemorrhage, aka “worst headache of my life”

  • risk of rupture is 1.3% per year, higher with larger aneurysms

  • mortality: 25-50% die after first aneurysm

Pathogenesis

  • not fully understood, but does have to do with nonlaminar flow around arterial branchings

  • strongly associated with polycystic kidney disease

Category: Medical Subject Notes , Pathology Notes

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