Intracerebral hemorrhage caused by rupture of a giant aneurysm complicating superficial temporal artery-middle cerebral artery anastomosis for moyamoya disease

被引：22

作者：

Eom, Ki Seong ^{[1
]}

Kim, Dae Won ^{[1
]}

Kang, Sung Don ^{[1
]}

机构：

[1] Wonkwang Univ, Sch Med, Dept Neurosurg, Iksan 570749, South Korea

来源：

ACTA NEUROCHIRURGICA | 2010年 / 152卷 / 06期

关键词：

Giant aneurysm; STA-MCA anastomosis; Moyamoya disease; Intracerebral hemorrhage; EXTRACRANIAL-INTRACRANIAL BYPASS;

D O I：

10.1007/s00701-009-0550-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Aneurysm formation at the anastomosis site after extracranial-intracranial (EC-IC) bypass surgery for major arterial occlusion or stenosis due to atherosclerosis has only been reported a few times previously. However, no case describing the formation of a giant aneurysm after EC-IC bypass surgery has been reported to date. Additionally, this complication associated with moyamoya disease is extremely rare, and only one case has been reported so far. We report a case of a 51-year-old woman having a rare complication of intracerebral hemorrhage due to rupture of a giant aneurysm that developed after superficial temporal artery-middle cerebral artery anastomosis for the treatment of moyamoya disease. To the best of our knowledge, this is the first reported case of a giant aneurysm, also the largest so far occurring after EC-IC bypass surgery and the second reported case of a rupture of an aneurysm formed after bypass surgery for moyamoya disease.

引用

页码：1069 / 1073

页数：5

共 12 条

[1] Delayed intracerebral hemorrhage after superficial temporal artery-middle cerebral artery anastomosis in a patient with moyamoya disease: possible involvement of cerebral hyperperfusion and increased vascular permeability [J].