Unilateral hemorrhagic moyamoya disease and contralateral cavernous aneurysm in an Indian woman treated with stent-assisted coil technique: case report

Egyptian Journal of Neurosurgery

Hukum Singh¹  Daljit Singh¹  Arvind Kumar Srivastava¹  Gautam Dutta¹ 

[1] Department of Neuro-Surgery, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi, India

关键词: Unilateral moyamoya disease;    Aneurysm;    Stent-assisted coiling;    Cerebral hemorrhage;   

DOI  :  10.1186/s41984-018-0025-4

学科分类：神经科学

来源: Springer

【 摘 要 】

Moyamoya disease (MMD) is a chronic, progressive occlusion of the arteries around the circle of Willis that leads to the development of characteristic collateral vessels seen on cerebral angiography. MMD is commonly accompanied by intracranial aneurysms; however, the current literature is sparse regarding the best available treatment options for aneurysms in patients with MMD. Long-term angiographic outcome is also not well established. We report the safety and efficacy of stent-assisted coiling in an adult Indian woman of unilateral hemorrhagic MMD having a large asymptomatic cavernous segment aneurysm on the contralateral side. The patient had excellent angiographic occlusion without any recurrence/hemorrhage in the 5-year follow-up after the procedure. MMD should be kept in mind in evaluating patients presenting with cerebrovascular accidents. The case strengthens the view that stent-assisted coil embolization of large saccular aneurysms around the circle of Willis is a viable minimally invasive therapeutic option in such unusual patients.

【 授权许可】

CC BY