Ischemic stroke due to dissection of the posterior cerebral artery in a patient with polycystic kidney disease
https://doi.org/10.14412/2074-2711-2024-5-77-81
Abstract
Polycystic kidney disease (PKD) is a genetic condition clinically manifested by the formation of multiple cysts in the kidneys, liver and pancreas, as well as cardiovascular pathology. One of the rare complications of PKD is the development of dissections of the aorta, coronary and cerebral arteries.
This article presents a clinical case of ischemic stroke due to dissection of the posterior cerebral artery in a young patient with PKD who had a history of recurrent bleeding in the deep parts of both cerebral hemispheres.
About the Authors
M. Yu. MaksimovaRussian Federation
Marina Yuryevna Maksimova
80, Volokolamskoe Sh., Moscow 125367
Competing Interests:
There are no conflicts of interest
A. S. Airapetova
Russian Federation
80, Volokolamskoe Sh., Moscow 125367
Competing Interests:
There are no conflicts of interest
References
1. Horie S, Mochizuki T, Muto S, et al. Evidence-based clinical practice guidelines for polycystic kidney disease 2014. Clin Exp Nephrol. 2016 Aug;20(4):493-509. doi: 10.1007/s10157-015-1219-7. Erratum in: Clin Exp Nephrol. 2016 Aug;20(4):510. doi: 10.1007/s10157-016-1285-5
2. Torres VE, Harris PC, Pirson Y. Autosomal dominant polycystic kidney disease. Lancet. 2007 Apr 14;369(9569):1287-301. doi: 10.1016/S0140-6736(07)60601-1
3. Gieteling EW, Rinkel GJ. Characteristics of intracranial aneurysms and subarachnoid haemorrhage in patients with polycystic kidney disease. J Neurol. 2003 Apr;250(4):418-23. doi: 10.1007/s00415-003-0997-0
4. Cornec-Le Gall E, Alam A, Perrone RD. Autosomal dominant polycystic kidney disease. Lancet. 2019 Mar 2;393(10174):919-35. doi: 10.1016/S0140-6736(18)32782-X. Epub 2019 Feb 25.
5. Basile C, Lucarelli K, Langialonga T. Spontaneous coronary artery dissection: One more extrarenal manifestation of autosomal dominant polycystic kidney disease? J Nephrol. 2009;22(3):414-6.
6. Itty CT, Farshid A, Talaulikar G. Spontaneous coronary artery dissection in a woman with polycystic kidney disease. Am J Kidney Dis. 2009 Mar;53(3):518-21. doi: 10.1053/j.ajkd.2008.08.027. Epub 2008 Nov 6.
7. Afari ME, Quddus A, Bhattarai M, et al. Spontaneous coronary dissection in polycystic kidney disease. R I Med J (2013). 2013 Dec 3;96(12):44-5.
8. Lee CC, Fang CY, Huang CC, et al. Computed tomography angiographic demonstration of an unexpected left main coronary artery dissection in a patient with polycystic kidney disease. J Thorac Imaging. 2011 Feb;26(1):W4-6. doi: 10.1097/RTI.0b013e3181dc2a53
9. Gignon M, Defouilloy C, Montpellier D, et al. Sudden death caused by aortic dissection in a patient with polycystic kidney disease. Genet Couns. 2011;22(4):333-9.
10. Paynter HE, Parnham A, Feest TG, Dudley CR. Thoracic aortic dissection complicating autosomal dominant polycystic kidney disease. Nephrol Dial Transplant. 1997;12(8):1711-3. doi: 10.1093/ndt/12.8.1711
11. Adeola T, Adeleye O, Potts JL, et al. Thoracic aortic dissection in a patient with autosomal dominant polycystic kidney disease. J Natl Med Assoc. 2001;93(78):282-7.
12. Fukunaga N, Yuzaki M, Nasu M, Okada Y. Dissecting aneurysm in a patient with autosomal dominant polycystic kidney disease. Ann Thorac Cardiovasc Surg. 2012;18(4):375-8. doi: 10.5761/atcs.cr.11.01756
13. Windpessl M, Stadler K, Lampl R, Wallner M. Horner syndrome in renal clinic: a woman with polycystic kidney disease and spontaneous carotid artery dissection. Nephrology (Carlton). 2013;18(4):315. doi: 10.1111/nep.12042
14. Kuroki T, Yamashiro K, Tanaka R, et al. Vertebral artery dissection in patients with autosomal dominant polycystic kidney disease. J Stroke Cerebrovasc Dis. 2014;23(10):e441-e443. doi: 10.1016/j.jstrokecerebrovasdis.2014.05.028
15. Roth C, Kleffmann J, Bergmann C, et al. Ruptured cerebral aneurysm and acute bilateral carotid artery dissection in a patient with polycystic kidney disease and polycystic liver disease. Cerebrovasc Dis. 2013;35(6):590-1. doi: 10.1159/000350727
16. Bobrie G, Brunet-Bourgin F, Alamowitch S, et al. Spontaneous artery dissection: is it part of the spectrum of autosomal dominant polycystic kidney disease? Nephrol Dial Transplant. 1998 Aug;13(8):2138-41. doi: 10.1093/ndt/13.8.2138
17. Pirson Y. Extrarenal manifestations of autosomal dominant polycystic kidney disease. Adv Chronic Kidney Dis. 2010;17(2):17380. doi: 10.1053/j.ackd.2010.01.003
18. Nacasch N, Werner M, Golan E, Korzets Z. Arterial dissections in autosomal dominant polycystic kidney disease – chance association or part of the disease spectrum? Clin Nephrol. 2010;73(6):478-81. doi: 10.5414/cnp73478
19. Osawa Y, Omori S, Nagai M, et al. Thoracic aortic dissection in a patient with autosomal dominant polycystic kidney disease treated with maintenance hemodialysis. J Nephrol. 2000 May-Jun;13(3):193-5.
20. Torres VE, Cai Y, Chen XI, et al. Vascular expression of polycystin-2. J Am Soc Nephrol. 2001 Jan;12(1):1-9. doi: 10.1681/ASN.V1211
21. Pirson Y, Chauveau D, Torres V. Management of cerebral aneurysms in autosomal dominant polycystic kidney disease. J Am Soc Nephrol. 2002 Jan;13(1):26976. doi: 10.1681/ASN.V131269
22. Liu D, Wang CJ, Judge DP, et al. A Pkd1Fbn1 genetic interaction implicates TGF-β signaling in the pathogenesis of vascular complications in autosomal dominant polycystic kidney disease. J Am Soc Nephrol. 2014 Jan;25(1):81-91. doi: 10.1681/ASN.2012050486. Epub 2013 Sep 26.
23. Yanda MK, Liu Q, Cebotaru V, et al. Role of calcium in adult onset polycystic kidney disease. Cell Signal. 2019 Jan;53:140-50. doi: 10.1016/j.cellsig.2018.10.003. Epub 2018 Oct 5.
24. Fick-Brosnahan GM. Endothelial dysfunction and angiogenesis in autosomal dominant polycystic kidney disease. Curr Hypertens Rev. 2013 Feb;9(1):32-6. doi: 10.2174/1573402111309010006
25. Carone FA, Kanwar Y. Tubular cell and matrix changes in renal cystic disease. Contrib Nephrol. 1993;101:1-6. doi: 10.1159/000422098
26. Klingel R, Ramadori G, Schuppan D, et al. Coexpression of extracellular matrix glycoproteins undulin and tenascin in human autosomal dominant polycystic kidney disease. Nephron. 1993;65(1):111-8. doi: 10.1159/000187451
27. Haruta S, Gunji K, Kawamura T, Hiroshima K. Generalized Vascular Dissection on Pathological Examination in a Patient With Polycystic Kidney Disease and Acute Aortic Dissection. J Natl Med Assoc. 2019 Oct;111(5):563-8. doi: 10.1016/j.jnma.2019.04.008. Epub 2019 May 27.
Review
For citations:
Maksimova MY, Airapetova AS. Ischemic stroke due to dissection of the posterior cerebral artery in a patient with polycystic kidney disease. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2024;16(5):77-81. https://doi.org/10.14412/2074-2711-2024-5-77-81