Egyptian Journal of Neurosurgery | |
Unilateral hemorrhagic moyamoya disease and contralateral cavernous aneurysm in an Indian woman treated with stent-assisted coil technique: case report | |
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
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
RO201901220463843ZK.pdf | 1536KB | download |