Evidence map›Paper›PMID 42282437›Full record

ArticleNMC case report journal2026

Anti-neutrophil Cytoplasmic Antibody-Associated Vasculitis Complicated by Subarachnoid Hemorrhage due to a Ruptured Cerebral Aneurysm: A Case Report.

Megumi Tomita, Junya Kaneko, Shodai Yamada, Shin Sato, Akiko Kitahashi, Tomohiro Kaneko, Masamune Kuno, Shoji Yokobori

Abstract readCase Reports
In one paragraph

Article in NMC case report journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Megumi TomitaDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Junya KanekoDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Shodai YamadaDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Shin SatoDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Akiko KitahashiDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Tomohiro KanekoDepartment of Nephrology, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Masamune KunoDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tama Nagayama Hospital, Tokyo, Japan.
Shoji YokoboriDepartment of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anti-neutrophil cytoplasmic antibody-associated vasculitis is an autoimmune disorder characterized by inflammation of small vessels, with potential for multi-organ involvement. Anti-neutrophil cytoplasmic antibody-associated vasculitis can affect blood vessels throughout the body, but involvement of cerebral vessels is relatively rare. We report a case of anti-neutrophil cytoplasmic antibody-associated vasculitis complicated by a subarachnoid hemorrhage due to the rupture of a cerebral artery pseudoaneurysm, which was successfully managed with endovascular intervention. A 61-year-old man presented with headache, purpura on the extremities, profound fatigue, and diffuse myalgia. Computed tomography revealed subarachnoid hemorrhage. Based on clinical, laboratory, brain magnetic resonance imaging, and cerebral angiography findings, the patient was diagnosed with anti-neutrophil cytoplasmic antibody-associated vasculitis and subarachnoid hemorrhage secondary to the rupture of pseudoaneurysm formed in perforating branch arising from the vertebral artery. Parent artery occlusion of the vertebral artery resulted in the complete obliteration of the aneurysm and no rebleeding occurred during the course. Despite intensive care management, the patient developed renal and putaminal hemorrhages, resulting in a fatal outcome. Anti-neutrophil cytoplasmic antibody-associated vasculitis may involve the cerebral vessels, and in cases complicated by ruptured aneurysms, implementing appropriate re-rupture prevention alongside adequate treatment of anti-neutrophil cytoplasmic antibody-associated vasculitis may help improve clinical outcomes.

Indexed as

ANCAaneurysmendovascular treatmentintracranial hemorrhagesubarachnoid hemorrhage

Identifiers

PMID42282437
PMCPMC13249539

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.