雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Selective Coil Embolization of a Distal Anterior Choroidal Artery Aneurysm Associated with Moyamoya Disease: A Case Report Akitake OKAMURA 1 , Yukihiko KAWAMOTO 1 , Eiichirou SAKODA 1 , Taro MURAKAMI 1 , Takeshi HARA 1 , Takahito OKAZAKI 2 , Yoshihiro KIURA 2 , Kaoru KURISU 2 1Department of Neurosurgery, Hiroshima City Asa Hospital 2Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University Keyword: distal anterior choroidal artery , aneurysm , moyamoya disease , coil embolization pp.437-444
Published Date 2014/5/10
DOI https://doi.org/10.11477/mf.1436102239
  • Abstract
  • Look Inside
  • Reference

 Intracranial hemorrhage in patients with moyamoya disease is often caused by rupture of the associated aneurysms. Of these aneurysms, distal anterior choroidal artery(AChoA)aneurysms are rare. In patients with moyamoya disease, the AChoA constitutes collateral vessels and the aneurysm requires careful treatment strategy. However, reported cases of distal AChoA aneurysms include various procedures including conservative therapy, direct surgery, and endovascular therapy. Herein, we report a case of coil embolization of a distal AChoA aneurysm associated with moyamoya disease and discuss the treatment strategy.

 A 39-year-old female presented with severe headache and subsequent deep coma. Computed tomography(CT)revealed thick intraventricular hemorrhage, and three-dimensional CT angiography revealed a right distal AChoA aneurysm. Bilateral ventricular drainage was performed and subsequent ventriculoperitoneal(VP)shunt was performed. The persisting distal AChoA aneurysm was coil embolized without any complication. Rebleeding did not occur during the 1-year follow-up period.

 Endovascular treatment is effective for distal AChoA aneurysms associated with moyamoya disease to preserve collateral circulation.


Copyright © 2014, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有