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Diseases » Aneurysm » Symptoms
 

Symptoms of Aneurysm

Symptoms of Aneurysm

The list of signs and symptoms mentioned in various sources for Aneurysm includes the 4 symptoms listed below:

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Aneurysm Symptoms: Book Excerpts

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Other Possible Causes of these Symptoms

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Medical Books Online about Aneurysm

Medical Books Excerpts Excerpts of published medical book chapters related to Aneurysm are available from published medical books for more detailed information about Aneurysm.

Medical Books Excerpts

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.

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Symptoms of Aneurysm: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the symptoms of Aneurysm.


Femoral and popliteal aneurysms: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

Popliteal aneurysms may cause pain in the popliteal space when they’re large enough to compress the medial popliteal nerve and edema and venous distention if the vein is compressed. Femoral and popliteal aneurysms can produce symptoms of severe ischemia in the leg or foot due to acute thrombosis within the aneurysmal sac, embolization of mural thrombus fragments and, rarely, rupture. Symptoms of acute aneurysmal thrombosis include severe pain, loss of pulse and color, coldness in the affected leg or foot, and gangrene. Distal petechial hemorrhages may develop from aneurysmal emboli.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Ventricular aneurysm: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Arrhythmias, palpitations, fatigue, weakness, angina, dyspnea, edema, crackles, jugular vein distention, systemic embolization, pulses alternans

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Dissecting abdominal aortic aneurysm: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Pulsating mass in periumbilical area, systolic bruit over aorta, tenderness with deep palpation, flank and groin pain, weakness, sweating, tachycardia, hypotension

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Abdominal aneurysm: Signs and symptoms
(Professional Guide to Diseases (Eighth Edition))

Although abdominal aneurysms usually don’t produce symptoms, most are evident (unless the patient is obese) as a pulsating mass in the periumbilical area, accompanied by a systolic bruit over the aorta. Some tenderness may be present on deep palpation. A large aneurysm may produce symptoms that mimic renal calculi, lumbar disk disease, and duodenal compression. Abdominal aneurysms rarely cause diminished peripheral pulses or claudication, unless embolization occurs.

Lumbar pain that radiates to the flank and groin from pressure on lumbar nerves may signify enlargement and imminent rupture. If the aneurysm ruptures into the peritoneal cavity, it causes severe, persistent abdominal and back pain, mimicking renal or ureteral colic. Signs of hemorrhagesuch as weakness, sweating, tachycardia, and hypotensionmay be subtle because rupture into the retroperitoneal space produces a tamponade effect that prevents continued hemorrhage. Patients with such rupture may remain stable for hours before shock and death occur, although 20% die immediately.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Cerebral aneurysm: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Headache, nuchal rigidity, stiff back and legs, nausea, decreased level of consciousness, seizures, blurred vision, dysphagia, pupillary changes

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Thoracic aortic aneurysm: Signs and Symptoms
(Professional Guide to Diseases (Eighth Edition))

Ripping pain extending to neck, back, shoulders, and abdomen; bradycardia; aortic insufficiency; pericardial friction rub; blood pressure differences; neurologic deficits; hoarseness; dysphagia; dyspnea

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Aneurysms, femoral and popliteal: Signs and symptoms
(Handbook of Diseases)

Popliteal aneurysms may cause pain in the popliteal space when they’re large enough to compress the medial popliteal nerve, and edema and venous distention when the vein is compressed. Femoral and popliteal aneurysms can produce symptoms of severe ischemia in the leg or foot, due to acute thrombosis within the aneurysmal sac, embolization of mural thrombus fragments and, rarely, rupture.

Signs and symptoms of acute aneurysmal thrombosis include severe pain, loss of pulse and color, coldness in the affected leg or foot, and gangrene. Distal petechial hemorrhages may develop from aneurysmal emboli.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

aneurysm,ventricular: Signs and symptoms
(Handbook of Diseases)

A ventricular aneurysm may cause arrhythmias (such as premature ventricular contractions and ventricular tachycardia), palpitations, signs and symptoms of cardiac dysfunction (weakness on exertion, fatigue, angina) and, occasionally, a visible or palpable systolic precordial bulge.

This condition may also lead to left ventricular dysfunction, with chronic heart failure (characterized by dyspnea, fatigue, edema, crackles, gallop rhythm, and neck vein distention); pulmonary edema; systemic embolization; and with left-sided heart failure, pulsus alternans.Ventricular aneurysms enlarge but rarely rupture.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Aneurysm, abdominal: Signs and symptoms
(Handbook of Diseases)

Although abdominal aneurysms usually don’t produce symptoms, most are evident (unless the patient is obese) as a pulsating mass in the periumbilical area, accompanied by a systolic bruit over the aorta. Some tenderness may be present on deep palpation. A large aneurysm may produce symptoms that mimic renal calculi, lumbar disk disease, and duodenal compression. Abdominal aneurysms rarely cause diminished peripheral pulses or claudication unless embolization occurs.

AGE ALERT: Because of normal age-related changes in the elderly patient’s vasculature, all patients older than age 65 should be assessed for aneurysms. Most abdominal aneurysms occur between ages 60 and 90.

Pain, rupture, and hemorrhage

Lumbar pain that radiates to the flank and groin from pressure on lumbar nerves may signify enlargement and imminent rupture. If the aneurysm ruptures into the peritoneal cavity, it causes severe, persistent abdominal and back pain, mimicking renal or ureteral colic.

Signs and symptoms of hemorrhage — such as weakness, sweating, tachycardia, and hypotension — may be subtle because rupture into the retroperitoneal space produces a tamponade effect that prevents continued hemorrhage. Patients with such rupture may remain in stable condition for hours before shock and death occur, although 20% die immediately.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003

Aneurysm, cerebral: Signs and symptoms
(Handbook of Diseases)

Occasionally, rupture of a cerebral aneurysm causes premonitory symptoms that last several days, such as headache, nuchal rigidity, stiff back and legs, and intermittent nausea. Usually, however, the rupture occurs abruptly and without warning, causing a sudden severe headache, nausea, vomiting and, depending on the severity and location of bleeding, altered level of consciousness (LOC), including a deep coma.

Bleeding causes meningeal irritation, resulting in nuchal rigidity, back and leg pain, fever, restlessness, irritability, occasional seizures, and blurred vision. Bleeding into the brain tissues causes hemiparesis, hemisensory defects, dysphagia, and visual defects. If the aneurysm is near the internal carotid artery, it compresses the oculomotor nerve and causes diplopia, ptosis, dilated pupil, and inability to rotate the eye.

Degrees of severity

The severity of symptoms varies from patient to patient, depending on the site and amount of bleeding. Patients with ruptured cerebral aneurysms are grouped as follows:

  •  Grade I: minimal bleeding. The patient is alert with no neurologic deficit; he may have a slight headache and nuchal rigidity.
  • Grade II: mild bleeding. The patient is alert, with a mild to severe headache, nuchal rigidity and, possibly, third-nerve palsy.
  • Grade III: moderate bleeding. The patient is confused or drowsy, with nuchal rigidity and, possibly, a mild focal deficit.
  • Grade IV: severe bleeding. The patient is stuporous, with nuchal rigidity and, possibly, mild to severe hemiparesis.
  • Grade V: moribund (commonly fatal). If the rupture is nonfatal, the patient is decerebrate or in a deep coma.

    Life-threatening factors

    Generally, a cerebral aneurysm poses three major threats:

  • Death from increased ICP. Increased ICP may push the brain downward, impair brain stem function, and cut off blood supply to the part of the brain that supports vital functions.
  • Bleeding episode. Generally, after the initial bleeding episode, a clot forms and seals the rupture, which reinforces the wall of the aneurysm for 7 to 10 days. However, after the 7th day, fibrinolysis begins to dissolve the clot and increases the risk of rebleeding. This rebleeding produces signs and symptoms similar to those accompanying the initial hemorrhage. Rebleeding episodes during the first 24 hours after the initial hemorrhage aren’t uncommon, and they contribute to the high mortality associated with this disorder.
  • Vasospasm. The reason for this complication isn’t clearly understood. Usually, vasospasm occurs in blood vessels adjacent to the cerebral aneurysm, but it may extend to major vessels of the brain, causing ischemia and altered brain function.

    Other complications of a cerebral aneurysm include acute hydrocephalus (due to abnormal accumulation of CSF within the cranial cavity because of CSF blockage by blood or adhesions) and pulmonary embolism (an adverse effect of deep vein thrombosis [DVT] or aneurysm treatment). (See Danger signals in cerebral aneurysm.)

    » READ BOOK EXCERPT ONLINE »

    Source: Handbook of Diseases, 2003

    Aneurysm, thoracic aortic: Signs and symptoms
    (Handbook of Diseases)

    Pain most commonly accompanies a thoracic aortic aneurysm. (See Clinical characteristics of thoracic dissection.) With an aneurysm of the ascending part of the aorta, the pain is described as severe, boring, and ripping and extends to the neck, shoulders, lower back, and abdomen but rarely radiates to the jaw and arms. Pain is more severe on the right side.

    Other signs include bradycardia, aortic insufficiency, pericardial friction rub caused by a hemopericardium, unequal intensities of the right and left carotid pulses and radial pulses, and a difference in blood pressure between the right and left arms. If dissection involves the carotid arteries, an abrupt onset of neurologic deficits may occur.

    With an aneurysm of the descending part of the aorta, pain usually starts suddenly between the shoulder blades and may radiate to the chest; it’s described as sharp and tearing.

    With an aneurysm of the transverse part of the aorta, sudden, sharp, tearing pain radiates to the shoulders. It may also cause hoarseness, dyspnea, dysphagia, and dry cough because of compression of surrounding structures.

    » READ BOOK EXCERPT ONLINE »

    Source: Handbook of Diseases, 2003

    Aneurysm as a symptom:

    For a more detailed analysis of Aneurysm as a symptom, including causes, drug side effect causes, and drug interaction causes, please see our Symptom Center information for Aneurysm.

    Medical articles and books on symptoms:

    These general reference articles may be of interest in relation to medical signs and symptoms of disease in general:

    Full list of premium articles on symptoms and diagnosis

    About signs and symptoms of Aneurysm:

    The symptom information on this page attempts to provide a list of some possible signs and symptoms of Aneurysm. This signs and symptoms information for Aneurysm has been gathered from various sources, may not be fully accurate, and may not be the full list of Aneurysm signs or Aneurysm symptoms. Furthermore, signs and symptoms of Aneurysm may vary on an individual basis for each patient. Only your doctor can provide adequate diagnosis of any signs or symptoms and whether they are indeed Aneurysm symptoms.


     » Next page: Diagnostic Tests for Aneurysm

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