Table 1.
Clinical characteristics of patients with IAs and mutations in the PKD1 or PKD2 gene
Case No. | Sex | Age at diagnosis of IA years | Symptoms, HH scale | Location of IAs | IAs, n | Size of IA, mm | Therapy | Diagnosis of IA before ESRF | Family history of IAs |
---|---|---|---|---|---|---|---|---|---|
1 | M | 49 | sy | right and left middle cerebral artery | 2 | 8 × 8 × 8, 10 × 10 × 10 | clip | no | no |
2 | F | 32 | asy | left posterior inferior cerebellar artery | 1 | 4.8 × 3.4 | clip | yes | no; relative of case 22 |
3 | M | 46 | asy | left internal carotid artery | multiple | n.a. | no | yes | no |
4 | M | 36 | asy | 2 × anterior communicating artery | 2 | n.a. | coil 2 × | yes | no |
5 | M | 50 | asy | right middle cerebral artery | 1 | 4 × 4 | clip | yes | relative of cases 6 and 29 |
6 | M | 46 | asy | right middle cerebral artery | 1 | n.a. | no | yes | relative of cases 5 and 29 |
7 | M | 43 | asy | right middle cerebral artery | 1 | 5.1 × 4.7 × 4.6 | clip | yes | yes; relative of cases 12 and 20 |
8 | F | 71 | asy | right middle cerebral artery | 1 | n.a. | no | no | no |
9 | F | 43 | asy | right middle cerebral artery, callosomarginal artery, ophthalmic artery, left middle cerebral artery | 4 | ophthalmic left 7.5 × 5; right middle cerebral artery 4 × 6 | clip media right | no | no |
10 | F | 47 | asy | middle cerebral artery, anterior communicating artery | 2 | n.a. | clip | yes | no |
11 | F | 50 | asy | internal carotid artery | 1 | 2 × 3 × 3 | no treatment | yes | no |
12 | M | 41 | asy | basilar artery | 1 | 9.5 × 5.5 × 4 | coil | yes | yes; relative of cases 7 and 20 |
13 | F | 34 | asy | left middle cerebral artery, left pericallosal artery, left ophthalmic artery | 3 | n.a. | clip 1 ×, coil 1 ×, 1 not treated | no | no |
14 | M | 47 | headache | right middle cerebral artery and ophthalmic artery | 2 | n.a. | clip 1 × | yes | no |
15 | F | 49 | HH1 | right middle cerebral artery | 1 | 4.2 × 4.5 | clip | yes | mother with cerebral aneurysm |
16 | F | 55 | HH4 | right pericallosal artery | 1 | 3.7 × 3 × 4.5 | coil | yes | no |
17 | F | 45 | HH4 | right middle cerebral artery | 1 | 6 × 6 | coil | yes | no |
18 | F | 38 | SAB | n.a. | 1 | n.a. | clip | yes | no |
19 | F | 31 | SAB | anterior cerebral artery, anterior communicating artery | 2 | n.a. | coil 1 ×, 1 not treated | yes | no |
20 | M | 43 | SAB, HH1 | left posterior communicating artery | 1 | 2.9 × 2.2 × 2.8 | clip | yes | yes; relative of cases 7 and 12 |
21 | M | 37 | SAB, HH1 | right middle cerebral artery | 1 | 2.5 i.D. | clip | yes | no |
22 | M | 29 | SAB, HH1 | anterior communicating artery | 1 | 3 i.D | clip | yes | later*; relative of case 2 |
23 | F | 49 | SAB, HH1, Fisher 2 | ophthalmic artery 3 × | 3 | 1.5 i.D, 2.2 i.D., 2.5 i.D. | coil, clip 2 × | yes | no |
24 | F | 29/50 | SAB/SAB,HH2–3 | anterior communicating artery, right internal carotid artery | 2 | 2 i.D. | clip 2 × in 21 years | yes | no |
25 | F | 33 | SDB, HH2 | left vertebral artery | 1 | n.a. | coil | yes | no |
26 | M | 42 | sy | anterior communicating artery | 1 | n.a. | clip | yes | no |
27 | F | 50 | sy | left middle cerebral artery | 1 | n.a. | clip | yes | no |
28 | M | 42 | sy | anterior communicating artery | 1 | n.a. | clip | yes | relative of cases 5 and 6 |
29 | F | 27 | sy | n.a. | 1 | 9.5 × 7.9 × 10.6 | n.a. | yes | father with cerebral hemorrhage |
30 | F | 57 | sy | 2× right middle cerebral artery and anterior communicating artery | 3 | n.a. | middle right cerebral artery clip, others not treated | no | no |
31 | F | 2 | sy | n.a. | 1 | n.a. | clip | yes | no |
32 | F | 48 | sy | 2× left middle cerebral artery, left pericallosal artery and left callosomarginal artery | 4 | n.a. | 3 × coil 1 × clip | no | no |
Cases 5, 6, and 29 are members of the same family, cases 2 and 22 are from another family, and cases 7, 12, and 20 from a 3rd family. HH = Cerebral dysfunction according to the Hunt and Hess grading scale;
ESRD = end-stage renal disease;
sy = symptomatic;
asy = asymptomatic;
SAB = subarachnoid hemorrhage;
n.a. = data not available;
i.D. = in diameter.
* The family history of IAs for this case was clarified by our study and was not known to the patient.