Endovascular Treatment of a Ruptured Aneurysm Associated with Unilateral Moyamoya Disease

Kensuke Murakami; Hiroshi Midorikawa; Noboru Takahashi; Yasuhiro Suzuki; Hiroaki Nomura; Michiharu Nishijima

Endovascular Treatment of a Ruptured Aneurysm Associated with Unilateral Moyamoya Disease

Kensuke Murakami, Hiroshi Midorikawa, Noboru Takahashi, Yasuhiro Suzuki, Hiroaki Nomura, Michiharu Nishijima

Research output: Contribution to journal › Article › peer-review

Abstract

We report a case presenting with subarachnoid hemorrhage due to a ruptured aneurysm associated with unilateral moyamoya disease. The patient was a 29-year-old woman exhibiting sudden onset headache. Computed tomography revealed subarachnoid hemorrhage around the brain stem. Cerebral angiography showed a saccular aneurysm at the junction of the left P1 portion of the posterior cerebral artery and its perforator. The right internal carotid artery was occluded at the terminal portion, and the right middle cerebral artery territory was perfused anterogradely via abnormal moyamoya vessels in the basal ganglia. The aneurysm was completely embolized with preservation of the perforator. We suggest that as compared to surgical clipping by craniotomy, endovascular therapy is safe and effective for treatment of intracranial aneurysms associated with moyamoya disease.

Original language	English
Pages (from-to)	167-171
Number of pages	5
Journal	Neurological Surgery
Volume	32
Issue number	2
Publication status	Published - 2004 Feb 1

Keywords

Endovascular treatment
Intracranial aneurysm
Moyamoya disease
Subarachnoid hemorrhage

ASJC Scopus subject areas

Surgery
Clinical Neurology

Cite this

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abstract = "We report a case presenting with subarachnoid hemorrhage due to a ruptured aneurysm associated with unilateral moyamoya disease. The patient was a 29-year-old woman exhibiting sudden onset headache. Computed tomography revealed subarachnoid hemorrhage around the brain stem. Cerebral angiography showed a saccular aneurysm at the junction of the left P1 portion of the posterior cerebral artery and its perforator. The right internal carotid artery was occluded at the terminal portion, and the right middle cerebral artery territory was perfused anterogradely via abnormal moyamoya vessels in the basal ganglia. The aneurysm was completely embolized with preservation of the perforator. We suggest that as compared to surgical clipping by craniotomy, endovascular therapy is safe and effective for treatment of intracranial aneurysms associated with moyamoya disease.",

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AU - Murakami, Kensuke

AU - Midorikawa, Hiroshi

AU - Takahashi, Noboru

AU - Suzuki, Yasuhiro

AU - Nomura, Hiroaki

AU - Nishijima, Michiharu

PY - 2004/2/1

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N2 - We report a case presenting with subarachnoid hemorrhage due to a ruptured aneurysm associated with unilateral moyamoya disease. The patient was a 29-year-old woman exhibiting sudden onset headache. Computed tomography revealed subarachnoid hemorrhage around the brain stem. Cerebral angiography showed a saccular aneurysm at the junction of the left P1 portion of the posterior cerebral artery and its perforator. The right internal carotid artery was occluded at the terminal portion, and the right middle cerebral artery territory was perfused anterogradely via abnormal moyamoya vessels in the basal ganglia. The aneurysm was completely embolized with preservation of the perforator. We suggest that as compared to surgical clipping by craniotomy, endovascular therapy is safe and effective for treatment of intracranial aneurysms associated with moyamoya disease.

AB - We report a case presenting with subarachnoid hemorrhage due to a ruptured aneurysm associated with unilateral moyamoya disease. The patient was a 29-year-old woman exhibiting sudden onset headache. Computed tomography revealed subarachnoid hemorrhage around the brain stem. Cerebral angiography showed a saccular aneurysm at the junction of the left P1 portion of the posterior cerebral artery and its perforator. The right internal carotid artery was occluded at the terminal portion, and the right middle cerebral artery territory was perfused anterogradely via abnormal moyamoya vessels in the basal ganglia. The aneurysm was completely embolized with preservation of the perforator. We suggest that as compared to surgical clipping by craniotomy, endovascular therapy is safe and effective for treatment of intracranial aneurysms associated with moyamoya disease.

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KW - Intracranial aneurysm

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KW - Subarachnoid hemorrhage

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Endovascular Treatment of a Ruptured Aneurysm Associated with Unilateral Moyamoya Disease

Abstract

Keywords

ASJC Scopus subject areas

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