Clinical diagnosis and treatment of intracranial aneurysms associated with Moyamoya disease / 中华神经医学杂志

ABSTRACT

Objective To explore the magnetic resonance angiography (MRA),digital subtraction angiography (DSA) imaging characteristics of blood stream related aneurysms associated with Moyamoya disease and its treatment method.Methods Retrospective analysis was carried out on the clinical data of 6 patients with aneurysms related to Moyamoya disease,admitted to our hospital from January 2000 to September 2012.Results Among the 6 patients,3 had ischemic cerebrovascular disease with un-ruptured aneurysm; 2 of the 3 patients with ruptured aneurysm manifested as subarachnoid hemorrhage and 1 as hemorrhage in the basal ganglia.Three patients had major artery aneurysms around Willis circles,2 was peripheral artery type,and 1 was the mixed type.Endovascular embolization was performed in 4 patients and the other 2 accepted conservative treatments.Follow-up results were satisfied.Conclusion Blood stream related aneurysms associated with Moyamoya disease can be detected by MRA and DSA; endovascular embolization for major artery aneurysms is safe and effective and patients with peripheral artery type aneurysm not having hemorrhage,having surgical difficulty,can be treated with conservative treatment and performed follow up regularly.