Multiple intracranial aneurysms associated with moyamoya disease

1981 ◽  
Vol 54 (5) ◽  
pp. 673-676 ◽  
Author(s):  
Yoshihide Nagamine ◽  
Shinichiro Takahashi ◽  
Makoto Sonobe
Keyword(s):  
Moyamoya Disease ◽  
Intracranial Aneurysms ◽  
Operative Indication ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Vertebrobasilar System ◽  
Initial Symptoms ◽  
Fine Print

✓ A case of multiple intracranial aneurysms associated with unilateral moyamoya vessels is reported. The authors have reviewed the age, sex, initial symptoms, site of aneurysm, and operative indication in similar cases reported in the literature. It was found that aneurysms associated with moyamoya disease were frequently located in the vertebrobasilar system.

Abnormal origin of bilateral ophthalmic arteries

1991 ◽  
Vol 74 (2) ◽  
pp. 287-289 ◽  
Author(s):  
Jun-ichiro Hamada ◽  
Isao Kitamura ◽  
Masahito Kurino ◽  
Nobuyuki Sueyoshi ◽  
Shozaburo Uemura ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Operative Findings ◽  
Ophthalmic Arteries ◽  
Fine Print

✓ The case of a 64-year-old woman with multiple intracranial aneurysms and abnormal ophthalmic arteries arising from the bifurcation of the internal carotid artery is described. It is believed that this type of anomaly of the ophthalmic artery has not previously been reported. The neuroradiological and operative findings of this case are presented.

Multiple intracranial aneurysms in sickle cell anemia

1985 ◽  
Vol 62 (3) ◽  
pp. 430-434 ◽  
Author(s):  
M. Chris Overby ◽  
Allen S. Rothman
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Sickle Cell ◽  
Sickle Cell Anemia ◽  
Intracranial Aneurysms ◽  
Neurological Complications ◽  
Review Of The Literature ◽  
Hemoglobin S ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Fine Print

✓ Neurological complications of sickle cell anemia occur in 18% to 29% of patients with homozygous hemoglobin S disease. A review of the literature yielded reports of two cases, both treated conservatively, of multiple intracranial aneurysms occurring in patients with sickle cell anemia. The authors report two cases of subarachnoid hemorrhage secondary to multiple intracranial aneurysms in patients with sickle cell anemia. One of the two patients underwent three craniotomies for ablation of six intracranial aneurysms. The techniques used in the treatment of these patients are presented.

Familial occurrence of multiple intracranial aneurysms

1972 ◽  
Vol 37 (3) ◽  
pp. 364-367 ◽  
Author(s):  
Kazuhisa Nagae ◽  
Ikuo Goto ◽  
Kazuo Ueda ◽  
Yasuyuki Morotomi
Keyword(s):  
Histological Examination ◽  
Intracranial Aneurysms ◽  
Causative Factor ◽  
Internal Elastic Lamina ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
The Brain ◽  
Elastic Lamina ◽  
Fine Print ◽  
Saccular Aneurysms

✓ A 48-year-old man and his 66-year-old mother had multiple intracranial saccular aneurysms visualized by angiography or verified at autopsy. Histological examination of the arteries at the base of the brain in the case autopsied showed a caterpillar tread-like appearance (“Raupenketten Elastica”) of the internal elastic lamina, which may indicate thinning of the elastic lamina and deserve consideration as a causative factor in the development of intracranial saccular aneurysms.

Multiple intracranial aneurysms due to Coccidioides immitis infection

1987 ◽  
Vol 66 (3) ◽  
pp. 453-456 ◽  
Author(s):  
Mark N. Hadley ◽  
Neil A. Martin ◽  
Robert F. Spetzler ◽  
Peter C. Johnson
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Young Woman ◽  
Intracranial Aneurysms ◽  
Mycotic Aneurysm ◽  
Coccidioides Immitis ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Fine Print

✓ True mycotic (fungal) aneurysms are distinctly uncommon. The case of a young woman with multiple intracranial aneurysms of Coccidioides immitis origin is presented. Coccidioides immitis organisms are not uncommon central nervous system pathogens and usually cause basilar meningitis and hydrocephalus. There are no previous reports of a coccidioidal mycotic aneurysm. The management of intracranial coccidioidomycosis and fungal aneurysms is reviewed.

Chorioretinal atrophy in a patient with moyamoya disease

2004 ◽  
Vol 101 (5) ◽  
pp. 843-845 ◽  
Author(s):  
Mona Harissi-Dagher ◽  
Mikael Sebag ◽  
Jehan H. Dagher ◽  
Robert Moumdjian
Keyword(s):  
Moyamoya Disease ◽  
Peripheral Retina ◽  
Content Type ◽  
Chorioretinal Atrophy ◽  
Vertebrobasilar System ◽  
First Case ◽  
Vascular Insufficiency ◽  
Internal Carotid Arteries ◽  
Visual Disturbances ◽  
Fine Print

✓ Moyamoya disease is characterized by constrictions of segments of the internal carotid arteries (ICAs) and a resultant abnormal anastomotic network. In the literature, visual disturbances from cerebrovascular accidents in patients with moyamoya disease have been described, but very few reports of intraocular pathological conditions have been published. The authors describe a patient with moyamoya disease who presented with chorioretinal atrophy; an association between these two diseases has not previously been reported in the literature. Findings of a clinical ophthalmological evaluation and angiographic series are presented. During the fundic examination, evidence of chorioretinal atrophy was found in this patient. Choroidal vascular insufficiency was revealed by intravenous fluorescein angiography and occlusion of the ICAs proximal to the origin of the posterior communicating arteries by selective carotid and vertebral arteriography. The vertebrobasilar system provided anastomotic connections via the posterior communicating arteries. This is the first case report of chorioretinal atrophy associated with moyamoya disease. It is believed that the vasoocclusive effects of moyamoya disease may predispose the patient to atrophic changes in the peripheral retina. The development of an anastomotic network precludes the progression of this fundic anomaly.

Clip-grafts for aneurysm and small vessel surgery.

1972 ◽  
Vol 37 (6) ◽  
pp. 753-758 ◽  
Author(s):  
Thoralf M. Sundt
Keyword(s):  
Middle Cerebral Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Anterior Communicating Artery ◽  
Content Type ◽  
Septal Region ◽  
Vertebrobasilar System ◽  
Anterior Communicating Artery Aneurysms ◽  
The Right ◽  
Fine Print

✓ Analysis of the use of the clip-graft for intracranial aneurysms indicates that the clip-graft is chiefly applicable to internal carotid and anterior communicating artery aneurysms. The development of the right-angle clip holder has extended its use to anterior communicating artery aneurysms that project posteriorly or superiorly. The dangers of dissection in the septal region are discussed. With few exceptions, the clip-graft is not applicable to the vertebrobasilar system or middle cerebral artery trifurcation aneurysms, although it has been used for aneurysms arising from the trunk of the latter vessel.

Study of the posterior circulation in moyamoya disease

1984 ◽  
Vol 61 (6) ◽  
pp. 1032-1037 ◽  
Author(s):  
Susumu Miyamoto ◽  
Haruhiko Kikuchi ◽  
Jun Karasawa ◽  
Izumi Nagata ◽  
Toshio Ikota ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Moyamoya Disease ◽  
Cerebral Angiography ◽  
Posterior Circulation ◽  
Vascular Network ◽  
Anterior Circulation ◽  
Content Type ◽  
Vertebrobasilar System ◽  
Fine Print

✓ Eighty-two cases of cerebrovascular moyamoya disease were studied by cerebral angiography and computerized tomography. Occlusive lesions were demonstrated not only in the anterior circulation but also in the posterior circulation, and they were associated with the development of an abnormal vascular network (moyamoya vessels). Although occlusive lesions do occur in the vertebrobasilar system, the vertebrobasilar system also acts as a source of collateral channels to the anterior circulation in this disease.

Treatment of multiple intracranial aneurysms

1971 ◽  
Vol 35 (6) ◽  
pp. 728-730 ◽  
Author(s):  
Lester A. Mount ◽  
Ronald Brisman
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Neurological Deficit ◽  
Intracranial Aneurysms ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Risk Patients ◽  
Good Risk ◽  
Fine Print

✓ The authors report a series of 70 patients with 161 multiple intracranial aneurysms. There was no mortality in 23 patients in whom all aneurysms were treated intracranially. Unoperated aneurysms later caused morbidity or mortality in eight of 33 patients. The authors believe that patients who have had a subarachnoid hemorrhage should have four-vessel arteriography to identify all aneurysms, and that all surgically accessible aneurysms should be treated, preferably intracranially in good-risk patients who have no disabling neurological deficit.

Pheochromocytoma and multiple intracranial aneurysms: is it a coincidence?

1997 ◽  
Vol 87 (5) ◽  
pp. 764-767 ◽  
Author(s):  
Aykut Erbengi ◽  
Servet Inci
Keyword(s):  
Intracranial Aneurysms ◽  
Perioperative Management ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Rare Association ◽  
The Relationship ◽  
Fine Print

✓ The authors present a case of multiple intracranial aneurysms associated with a pheochromocytoma. The aneurysms were successfully clipped, and a suprarenal tumor located on the left side was totally removed. To the authors' knowledge this is the fourth reported case of these combined entities in the literature. The authors speculate on the possible etiopathogenesis of the relationship between intracranial aneurysms and attacks of hypertension caused by the presence of neoplasms that discharge acute and irregular levels of catecholamines, especially pheochromocytomas. Perioperative management designed to avoid undesired complications in this rare association is also discussed.

Endovascular treatment of multiple intracranial aneurysms by using Guglielmi detachable coils

1999 ◽  
Vol 90 (5) ◽  
pp. 857-864 ◽  
Author(s):  
Sten Solander ◽  
Alexandre Ulhoa ◽  
Fernando Viñuela ◽  
Gary R. Duckwiler ◽  
Y. Pierre Gobin ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Intracranial Aneurysms ◽  
Mass Effect ◽  
Detachable Coil ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Unruptured Aneurysms ◽  
Guglielmi Detachable Coil ◽  
Detachable Coils ◽  
Fine Print

Object. The purpose of this paper is to present the authors' experience with Guglielmi detachable coil (GDC) embolization of multiple intracranial aneurysms and to evaluate the results of this therapy in single-stage procedures.Methods. Clinical and angiographic evaluations were performed in 38 consecutive patients with multiple intracranial aneurysms treated by GDC embolization between March 1990 and October 1997. Twenty-nine patients presented with subarachnoid hemorrhage (SAH), four with mass effect, and five were asymptomatic. These 38 patients harbored 101 aneurysms, 79 of which were treated with GDCs, 14 by surgical clipping, and eight were left untreated. Of the GDC-treated lesions, a complete endovascular occlusion was achieved in 55 aneurysms (70%), and 24 (30%) presented neck remnants. Twenty-five patients (66%) underwent GDC embolization of more than one aneurysm in the first session. Eighteen (86%) of 21 patients with acute SAH underwent treatment for all aneurysms within 3 days after admission (15 of 21 in one session). Follow-up angiographic studies in 30 patients demonstrated an unchanged or improved result in 94% of the aneurysms (59 lesions) and coil compaction in 6% (four lesions). The overall clinical outcome was excellent in 34 patients (89%), good in one (3%), fair in one (3%), and death in two (5%).Conclusions. Endovascular treatment of multiple intracranial aneurysms, regardless of their location, with GDCs was performed safely in one session, even during the acute phase of SAH. Treatment of all aneurysms in one session protected the patient from rebleeding and eliminated the risk of mistakenly treating only the unruptured aneurysms.

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