Posterior Cerebral Artery(PCA) Aneurysm and Basilar Artery-superior Cerebellar Artery(BA-SCA) Aneurysm Associated with Moyamoya Disease-A Case Report.
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We reported a surgical case of PCA aneurysm and BA-SCA junction aneurysm associated with moyamoya disease. A-55-year old woman admitted complaining head heaviness. Bilateral carotid angiography demonstrated occlusion at the terminal portion of the bilateral internal carotid arter-ies and moyamoya vessels in the cerebral base. Right vertebral angiogram revealed aneurysm at the P1-2 portion of the right posterior cerebral artery. Left encephalo-duro-arterio-synangiosis and left frontal cranial burr hole were performed at first operation. At second operation, PCA aneurysm was successfully clipped using the subtemporal approach and BA-SCA aneurysm was wrapping. A-dditionally, right encephalo-myo-synangiosis and right frontal cranial burr hole were performed. for the treatment of moyamoya disease. The postoperative course was uneventful. Surgical proce-dure of basilar artery aneurysm associated with moyamoya disease were discussed with a review of the literature.
- 一般社団法人 国立医療学会の論文
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