A 38-year-old man with autosomal dominant polycystic kidney disease asks about screening for intracranial aneurysm. His mother died from subarachnoid

Question

A 38-year-old man with autosomal dominant polycystic kidney disease asks about screening for intracranial aneurysm. His mother died from subarachnoid hemorrhage at age 45. He has no neurologic symptoms. Which of the following would you recommend?

Accepted Answer

Screening brain MRA because of family history of aneurysmal hemorrhage

Answer

Daily aspirin to prevent aneurysm rupture

Answer

Lumbar puncture every 5 years

Answer

Catheter angiography as the initial screening test for every patient

Answer

No screening because he is asymptomatic

Autosomal dominant polycystic kidney disease aneurysm screening — ABIM Board MCQ

A 38-year-old man with autosomal dominant polycystic kidney disease asks about screening for intracranial aneurysm. His mother died from subarachnoid hemorrhage at age 45. He has no neurologic symptoms. Which of the following would you recommend?