Concurrent unilateral moyamoya disease and vertebrobasilar junction aneurysm associated with fenestration – Case report and management

Angiograms indicated stenosis of the terminal position of the right ICA, and the proximal position of the right MCA and ACA with moyamoya vessels, as well as an aneurysm at the vertebrobasilar junction. [...]we found that the right posterior cerebral artery (PCA) filled the right hemisphere (Fig. 1B...

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Published inClinical neurology and neurosurgery Vol. 120; pp. 113 - 115
Main Authors Ohba, Shigeo, Shibao, Syunsuke, Tomita, Hideyuki, Nakagawa, Toru, Akaji, Kazunori, Murakami, Hideki
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.05.2014
Elsevier Limited
Subjects
Aneurysms
Basilar Artery - diagnostic imaging
Comorbidity
Defects
Female
Fenestration
Humans
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - epidemiology
Medical imaging
Middle Aged
Moyamoya disease
Moyamoya Disease - diagnostic imaging
Moyamoya Disease - epidemiology
Neurology
Neurosurgery
Radiography
STA-MCA bypass
Veins & arteries
Vertebral aneurysm
Vertebral Artery - diagnostic imaging
Fenestration
Moyamoya disease
Vertebral aneurysm
STA-MCA bypass
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Summary:Angiograms indicated stenosis of the terminal position of the right ICA, and the proximal position of the right MCA and ACA with moyamoya vessels, as well as an aneurysm at the vertebrobasilar junction. [...]we found that the right posterior cerebral artery (PCA) filled the right hemisphere (Fig. 1B-D). [...]we carefully ensured that perioperative conditions such as hypercapnia, hypocapnia, hypotension, and hypovolemia did not develop, which may have caused ischemic complications [3].
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2014.03.003