Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Endovascular Embolization of a Ruptured Distal Lenticulostriate Artery Aneurysm in Patients with Moyamoya Disease

  • Hwang, Kihwan (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Hwang, Gyojun (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Kwon, O-Ki (Department of Neurosurgery, Seoul National University Bundang Hospital)
  • Received : 2014.01.18
  • Accepted : 2014.03.19
  • Published : 2014.12.28
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Abstract

A ruptured distal lenticulostriate artery (LSA) aneurysm is detected occasionally in moyamoya disease (MMD) patients presented with intracerebral hemorrhage. If the aneurysm is detected in hemorrhage site on angiographic evaluation, its obliteration could be considered, because it rebleeds frequently, and is associated with poorer outcome and mortality in MMD related hemorrhage. In this case report, the authors present two MMD cases with ruptured distal LSA aneurysm treated by endovascular embolization.

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References

  1. Chalouhi N, Tjoumakaris S, Gonzalez LF, Dumont AS, Shah Q, Gordon D, et al. : Onyx embolization of a ruptured lenticulostriate artery aneurysm in a patient with moyamoya disease. World Neurosurg 80 : 436.e7-e10, 2013
  2. Cho HJ, Roh HG, Moon WJ, Kim HY : Perforator territory infarction in the lenticulostriate arterial territory : mechanisms and lesion patterns based on the axial location. Eur Neurol 63 : 107-115, 2010 https://doi.org/10.1159/000276401
  3. Harreld JH, Zomorodi AR : Embolization of an unruptured distal lenticulostriate aneurysm associated with moyamoya disease. AJNR Am J Neuroradiol 32 : E42-E43, 2011 https://doi.org/10.3174/ajnr.A1993
  4. Kim SH, Kwon OK, Jung CK, Kang HS, Oh CW, Han MH, et al. : Endovascular treatment of ruptured aneurysms or pseudoaneurysms on the collateral vessels in patients with moyamoya disease. Neurosurgery 65 : 1000-1004; discussion 1004, 2009 https://doi.org/10.1227/01.NEU.0000345648.46096.CE
  5. Larrazabal R, Pelz D, Findlay JM : Endovascular treatment of a lenticulostriate artery aneurysm with N-butyl cyanoacrylate. Can J Neurol Sci 28 : 256-259, 2001 https://doi.org/10.1017/S0317167100001426
  6. Nah HW, Kwon SU, Kang DW, Ahn JS, Kwun BD, Kim JS : Moyamoya disease-related versus primary intracerebral hemorrhage : [corrected] location and outcomes are different. Stroke 43 : 1947-1950, 2012 https://doi.org/10.1161/STROKEAHA.112.654004
  7. Saeki N, Nakazaki S, Kubota M, Yamaura A, Hoshi S, Sunada S, et al. : Hemorrhagic type moyamoya disease. Clin Neurol Neurosurg 99 Suppl 2 : S196-S201, 1997
  8. Tsai YH, Wang TC, Weng HH, Wong HF : Embolization of a ruptured lenticulostriate artery aneurysm. J Neuroradiol 38 : 242-245, 2011 https://doi.org/10.1016/j.neurad.2010.12.004
  9. Yoshida Y, Yoshimoto T, Shirane R, Sakurai Y : Clinical course, surgical management, and long-term outcome of moyamoya patients with rebleeding after an episode of intracerebral hemorrhage : an extensive follow-up study. Stroke 30 : 2272-2276, 1999 https://doi.org/10.1161/01.STR.30.11.2272

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