berry aneurysm


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Related to berry aneurysm: circle of Willis, saccular aneurysm

aneurysm

 [an´u-rizm]
a sac formed by the localized dilatation of the wall of an artery, a vein, or the heart.
 Classification of aneurysms. All three tunica layers are involved in true aneurysms (fusiform and saccular). In false aneurysms, blood escapes between tunica layers and they separate. If the separation continues, a clot may form, resulting in a dissecting aneurysm. From Copstead and Banasik, 2000.
adj., adj aneurys´mal. The chief signs of an arterial aneurysm are the formation of a pulsating tumor, and often a bruit (aneurysmal bruit) heard over the swelling. Sometimes there are symptoms from pressure on contiguous parts.

The most common site for an arterial aneurysm is the abdominal aorta. A true aneurysm results from formation of a sac by the arterial wall with at least one unbroken layer. It is most often associated with atherosclerosis. A false aneurysm usually is caused by trauma. In this case, the wall of the blood vessel is ruptured and blood escapes into surrounding tissues and forms a clot. Because of pressure within the clot arising from the heart's contractions, the clot often pulsates against the examiner's hand as does a true aneurysm.

Although atherosclerosis is responsible for most arterial aneurysms, any injury to the middle or muscular layer of the arterial wall (tunica media) can predispose the vessel to stretching of the inner and outer layers of the artery and the formation of a sac. Other diseases that can lead to an aneurysm include syphilis, cystic medionecrosis, certain nonspecific inflammations, and congenital defects in the artery.

It is possible for a person to be unaware of a small aneurysm for years. About 80 per cent of all abdominal aneurysms are palpable and may be noticed on a routine physical examination. One should be particularly alert to the possibility of an aneurysm in persons with a history of cardiovascular disease, hypertension, or peripheral vascular disease.

Aneurysms tend to increase in size, presenting a problem of increasing pressure against adjacent tissues and organs and a danger of rupture. When an aneurysm ruptures, a critical situation ensues. The patient with a ruptured aortic aneurysm exhibits severe pain and blood loss, leading to shock. A ruptured cerebral aneurysm produces neurologic symptoms and can resemble the clinical picture of stroke syndrome.

Treatment of aneurysm depends on the vessel involved, size of the aneurysm, and general health status of the patient.
arteriosclerotic aneurysm an aneurysm arising in a large artery, most commonly the abdominal aorta, as a result of weakening of the wall in severe atherosclerosis; called also atherosclerotic aneurysm.
arteriovenous aneurysm an abnormal communication between an artery and a vein in which the blood flows directly into a neighboring vein or is carried into the vein by a connecting sac.
atherosclerotic aneurysm arteriosclerotic aneurysm.
bacterial aneurysm an infected aneurysm caused by bacteria.
berry aneurysm (brain aneurysm) a small saccular aneurysm of a cerebral artery, usually at the junction of vessels in the circle of Willis; such aneurysms frequently rupture, causing subarachnoid hemorrhage. Called also cerebral aneurysm.
cardiac aneurysm thinning and dilatation of a portion of the wall of the left ventricle, usually a consequence of myocardial infarction.
cerebral aneurysm berry aneurysm.
cirsoid aneurysm dilatation and tortuous lengthening of part of an artery; called also racemose aneurysm.
compound aneurysm one in which some of the layers of the wall of the vessel are ruptured and some merely dilated; called also mixed aneurysm.
dissecting aneurysm one resulting from hemorrhage that causes lengthwise splitting of the arterial wall, producing a tear in the inner wall (intima) and establishing communication with the lumen of the vessel. It usually affects the thoracic aorta (see aortic dissection) but can also occur in other large arteries. See illustration.
false aneurysm
one in which the entire wall is injured and the blood is contained by the surrounding tissues, with eventual formation of a sac communicating with the artery (or heart). See illustration.
fusiform aneurysm a spindle-shaped aneurysm; see illustration.
infected aneurysm one produced by growth of microorganisms (bacteria or fungi) in the vessel wall, or infection arising within a preexisting arteriosclerotic aneurysm.
mixed aneurysm compound aneurysm.
mycotic aneurysm an infected aneurysm caused by fungi.
racemose aneurysm cirsoid aneurysm.
saccular aneurysm (sacculated aneurysm) a saclike aneurysm; see illustration.
spurious aneurysm
false aneurysm (def. 1).
varicose aneurysm one formed by rupture of an aneurysm into a vein.

ber·ry an·eu·rysm

a small saccular aneurysm of a cerebral artery that resembles the fruit; can rupture causing a subarachnoid hemorrhage.

berry aneurysm

Etymology: ME, berye + Gk, aneurysma, widening
a small, saccular dilation of the wall of a cerebral artery. It occurs most frequently at the junctures of vessels in the circle of Willis. A berry aneurysm may be the result of a congenital developmental defect and may rupture without warning, causing intracranial hemorrhage. Smoking and hypertension increase the likelihood of rupture.
enlarge picture
Common sites of berry aneurysms

berry aneurysm

A 0.2–0.5 cm saccular dilatation of arteries at the base of the brain, at or near the circle of Willis (95%) of BAs or at the vertebrobasilar arteries­ (5%), due to a developmental or congenital weakness in the medial muscle layer of the cerebral arteries. 30% of berry aneurysms are multiple, located at bifurcations, often anterior and appear in 1–2% of all autopsies; most berry aneurysms rupture at > 1 cm in diameter.

Risk of rupture
Linked to increased blood pressure (BP), which may be secondary to stress, due to acutely increased systemic BP—e.g., sexual intercourse, athletic competition.

Pathogenesis
Aortic coarctation, polycystic renal disease, collagen disorders (e.g., Ehlers-Danlos and Marfan syndromes), AV malformation and fibromuscular dysplasia.

berry aneurysm

Neurology A 0.2-0.5 cm saccular dilation of arteries at the base of the brain, at or near the circle of Willis–95% of BAs or at the vertebrobasilar arteries–5%, due to a developmental or congenital weakness in the medial muscle layer of the cerebral arteries; 30% of BAs are multiple, located at bifurcations, often anterior and appear in 1-2% of all autopsies; most BAs rupture at > 1 cm in diameter. See Circle of Willis.

ber·ry an·eu·rysm

(ber'ē an'yūr-izm)
Asmall saccular aneurysm of a cerebral artery that resembles a berry. Such aneurysms frequently rupture, causing subarachnoid hemorrhage.

berry aneurysm

A berry-like swelling at the branching point of an artery under the brain, especially on the Circle of Willis, due to a congenital weakness, the rupture of which causes an often-fatal subarachnoid haemorrhage. Identified aneurysms may be treated by observation, surgical clipping or endovascular occlusion by detachable coils. Coiling appears to be safer in the case of ruptured aneurysms. (Sir James Berry, 1860–1946, Canadian surgeon).

aneurysm

a sac formed by the localized dilatation of the wall of an artery, vein or the heart.

aortic aneurysm
see aortic aneurysm.
arteriovenous aneurysm
an abnormal communication between an artery and a vein in which the blood flows directly into a neighboring vein or is carried into the vein by a connecting sac.
atherosclerotic aneurysm
one arising as a result of weakening of the tunica media in severe atherosclerosis.
bacterial aneurysm
an infected aneurysm caused by bacteria.
berry aneurysm
a small saccular aneurysm of a cerebral artery, usually at the junction of vessels in the circle of Willis; such aneurysms frequently rupture, causing subarachnoid hemorrhage. Called also brain aneurysm.
cardiac aneurysm
thinning and dilatation of a portion of the wall of the left ventricle, usually a consequence of myocardial infarction.
cirsoid aneurysm
dilatation and tortuous lengthening of part of an artery.
compound aneurysm
one in which some of the layers of the wall of the vessel are ruptured and some merely dilated. Called also mixed aneurysm.
congenital aneurysm
observed sporadically in the aorta and pulmonary artery.
dissecting aneurysm
one resulting from hemorrhage that causes lengthwise splitting of the arterial wall, producing a tear in the inner wall (intima) and establishing communication with the lumen of the vessel; it usually affects the thoracic aorta. Seen most commonly in horses and caused by larvae of Strongylus vulgaris. See strongylosis. A specific disease of turkeys.
fusiform aneurysm
a spindle-shaped aneurysm.
infected aneurysm
one produced by growth of microorganisms (bacteria or fungi) in the vessel wall, or infection arising within a pre-existing arteriosclerotic aneurysm.
inherited aortic aneurysm
causes a high mortality rate in the affected cattle breed. The defect is in the abdominal aorta.
lung aneurysm
may result from the lodgement of pulmonary emboli; rupture and pulmonary hemorrhage are potential sequelae.
mixed aneurysm
compound aneurysm.
mycotic aneurysm
an infected aneurysm caused by fungi.
pseudoaneurysm
false aneurysm.
racemose aneurysm
cirsoid aneurysm.
sacculated aneurysm
a saclike aneurysm.
varicose aneurysm
one formed by rupture of an aneurysm into a vein. See also aneurysmal varix.
venous aneurysm
see venous dilatation.
verminous aneurysm
References in periodicals archive ?
If a Berry aneurysm is found surgery is usually required to attach a small clip or insert a miniature coil into the affected blood vessel.
Inncardio's lead clinical development product is being investigated for use as a post-stroke therapy that has a novel delivery profile and is targeted to reduce the incidence and severity of ischemic deficits in patients with subarachnoid hemorrhage from rupture intracranial berry aneurysm.
Nimodipine is indicated for the improvement of neurological outcome by reducing the incidence and severity of ischemic deficits in patients with subarachnoid hemorrhage from ruptured intracranial berry aneurysms regardless of their post-ictus neurological condition (i.