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CC BY-NC-ND 4.0 · Asian J Neurosurg 2024; 19(04): 808-811
DOI: 10.1055/s-0044-1790518
Case Report

Superior Cerebellar Artery Aneurysm in a Case of Moyamoya Disease: A Rare Entity

Krushikumar B. Soladhra 
1   Department of Neurosurgery, Smt. NHL Medical College, Ahmedabad, Gujarat, India
,
Arvindkumar Verma
1   Department of Neurosurgery, Smt. NHL Medical College, Ahmedabad, Gujarat, India
,
Varshesh K. Shah
1   Department of Neurosurgery, Smt. NHL Medical College, Ahmedabad, Gujarat, India
,
Dharmikkumar K. Velani
1   Department of Neurosurgery, Smt. NHL Medical College, Ahmedabad, Gujarat, India
,
Jaimin Modh
1   Department of Neurosurgery, Smt. NHL Medical College, Ahmedabad, Gujarat, India
› Institutsangaben Funding None.
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Abstract

Moyamoya disease is a rare condition characterized by progressive narrowing and occlusion of internal carotid artery and other major arteries of the brain with formation of multiple collaterals. The incidence of aneurysm in moyamoya disease is higher than normal population. Treating the simultaneous pathology of aneurysm and moyamoya disease in an individual is a rare entity. A 35-year-old male presented with headache, loss of consciousness, and generalized tonic-clonic seizure with subarachnoid hemorrhage. Digital Subtraction angiography showed moyamoya disease with left superior cerebellar artery aneurysm. Rupture of aneurysm was suspected to be the source of subarachnoid hemorrhage. Patient underwent clipping of the left superior cerebellar artery aneurysm with encephalo-duro-arterio-myo-synangiosis. Patient survived the procedures. All patients with subarachnoid hemorrhage in moyamoya disease should undergo angiogram and aneurysm should be looked for carefully. The site of aneurysm and the risk for damaging the collaterals should be kept in mind while planning the surgery in such cases.

Keywords

superior - cerebellar - artery - aneurysm - moyamoya.

Note

The presence of aneurysm and moyamoya both together is a rare thing. All patients with subarachnoid hemorrhage in moyamoya disease should undergo angiogram. Dealing the aneurysm along with revascularization procedure is the management in such cases.




Publikationsverlauf

Artikel online veröffentlicht:
10. September 2024

© 2024. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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