Diagonal Earlobe Crease (Frank's Sign): a New Clinical Sign to Look for in Patients With Ruptured and Unruptured Intracranial Aneurysms? Patient Series.

Neurosurgery practice Pub Date : 2023-08-11 eCollection Date: 2023-09-01 DOI:10.1227/neuprac.0000000000000053
Victor Ramzes Chavez-Herrera, Joel Abraham Velazquez-Castillo, Flavio Hernandez-Gonzalez, Josue Alejandro Cervantes-Gonzalez, Juan Luis Cruz-Rosales, Bayron Alexander Sandoval-Bonilla, Diego Tonathiu Soto-Rubio, Cristian Alberto Perez-Carrillo, Rabindranath Garcia-Lopez
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Abstract

Background and importance: Diagonal earlobe crease (DELC, Frank's sign) and intracranial arterial aneurysms (IAA) have a pronounced association with atherosclerosis. Therefore, detecting DELC in patients with IAA could be potential for clinical and research use.

Clinical presentation: During a 2-month period, we diagnosed 20 patients with intracranial arterial aneurysms. Sixteen (80%) were positive for DELC, 12 were female, and 4 were male (ages ranging from 32 to 68 years and a mean of 52 years). Eleven were unruptured and 5 were ruptured. We highlight cases 1, 7, and 8.

Conclusion: The interesting tight association of DELC and IAAs to atherosclerosis and the overwhelming presence of DELC in patients with IAAs could lead to potentially associated DELC with the development, growth, and rupture of IAAs. As a result, important clinical and research information could be found.

对角耳垂折痕(弗兰克征):颅内动脉瘤破裂与未破裂患者的新临床征象?病人系列。
背景和重要性:斜耳垂折痕(DELC,弗兰克征)和颅内动脉瘤(IAA)与动脉粥样硬化有明显的相关性。因此,在IAA患者中检测DELC可能具有潜在的临床和研究用途。临床表现:在2个月的时间里,我们诊断了20例颅内动脉瘤。DELC阳性16例(80%),女性12例,男性4例(年龄32 ~ 68岁,平均52岁)。11例未破裂,5例破裂。我们强调情况1、7和8。结论:DELC和IAAs与动脉粥样硬化密切相关,并且在IAAs患者中DELC的大量存在可能导致DELC与IAAs的发展、生长和破裂有潜在的关联。因此,可以找到重要的临床和研究信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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