A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease

Saccular aneurysms associated with moyamoya disease are commonly located in the vertebrobasilar circulation. Anterior circulation aneurysm associated with moyamoya disease is uncommon and is usually treated by neurosurgical clipping. Objective: We report a succesful treatment using the endovascular...

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Main Authors: Muda, Ahmad Sobri, Abdullah, Noorakmal, Md Ralib @ Md Raghib, Ahmad Razali, Abu Bakar, Azizi
Format: Article
Language:English
Published: University Putra Malaysia 2012
Subjects:
Online Access:http://irep.iium.edu.my/28106/
http://irep.iium.edu.my/28106/1/2011_Sobri.pdf
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author Muda, Ahmad Sobri
Abdullah, Noorakmal
Md Ralib @ Md Raghib, Ahmad Razali
Abu Bakar, Azizi
author_facet Muda, Ahmad Sobri
Abdullah, Noorakmal
Md Ralib @ Md Raghib, Ahmad Razali
Abu Bakar, Azizi
author_sort Muda, Ahmad Sobri
building IIUM Repository
collection Online Access
description Saccular aneurysms associated with moyamoya disease are commonly located in the vertebrobasilar circulation. Anterior circulation aneurysm associated with moyamoya disease is uncommon and is usually treated by neurosurgical clipping. Objective: We report a succesful treatment using the endovascular approach in a case of ruptured anterior communicating artery aneurysm in unilateral moyamoya disease. Clinical Presentation: A 23 year old man presented with a 5 day history of headache, diplopia and fever. Computed Tomography (CT) scan and cerebral angiogram showed a bilobed anterior comunicating artery aneurysm. There was also severe M1 segment stenosis of the left middle cerebral artery with multiple collaterals, representing moyamoya vessels. Intervention: Treatment was done under general anesthesia and followed the standard practice for endovascular treatment. The aneurysm was occluded with three detachable platinum microcoils (Microplex®, Microvention®). Conclusion: Endovascular treatment can be a treatment option for ruptured anterior circulation saccular aneurysms associated with moyamoya disease.
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spelling iium-281062013-02-19T03:19:28Z http://irep.iium.edu.my/28106/ A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease Muda, Ahmad Sobri Abdullah, Noorakmal Md Ralib @ Md Raghib, Ahmad Razali Abu Bakar, Azizi R Medicine (General) Saccular aneurysms associated with moyamoya disease are commonly located in the vertebrobasilar circulation. Anterior circulation aneurysm associated with moyamoya disease is uncommon and is usually treated by neurosurgical clipping. Objective: We report a succesful treatment using the endovascular approach in a case of ruptured anterior communicating artery aneurysm in unilateral moyamoya disease. Clinical Presentation: A 23 year old man presented with a 5 day history of headache, diplopia and fever. Computed Tomography (CT) scan and cerebral angiogram showed a bilobed anterior comunicating artery aneurysm. There was also severe M1 segment stenosis of the left middle cerebral artery with multiple collaterals, representing moyamoya vessels. Intervention: Treatment was done under general anesthesia and followed the standard practice for endovascular treatment. The aneurysm was occluded with three detachable platinum microcoils (Microplex®, Microvention®). Conclusion: Endovascular treatment can be a treatment option for ruptured anterior circulation saccular aneurysms associated with moyamoya disease. University Putra Malaysia 2012-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/28106/1/2011_Sobri.pdf Muda, Ahmad Sobri and Abdullah, Noorakmal and Md Ralib @ Md Raghib, Ahmad Razali and Abu Bakar, Azizi (2012) A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease. Malaysian Journal of Medicine and Health Sciences, 8 (1). pp. 73-76. ISSN 1675-8544 (Online)1675-8544 (Print) http://www.medic.upm.edu.my/index.php/en/journal
spellingShingle R Medicine (General)
Muda, Ahmad Sobri
Abdullah, Noorakmal
Md Ralib @ Md Raghib, Ahmad Razali
Abu Bakar, Azizi
A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease
title A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease
title_full A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease
title_fullStr A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease
title_full_unstemmed A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease
title_short A successful case of Endovascular Treatment (EVT) of anterior communicating artery aneurysm associated with Moyamoya disease
title_sort successful case of endovascular treatment (evt) of anterior communicating artery aneurysm associated with moyamoya disease
topic R Medicine (General)
url http://irep.iium.edu.my/28106/
http://irep.iium.edu.my/28106/
http://irep.iium.edu.my/28106/1/2011_Sobri.pdf