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Incidental major artery aneurysms in patients with non-hemorrhagic moyamoya disease.
- Source :
-
Acta neurochirurgica [Acta Neurochir (Wien)] 2011 Jun; Vol. 153 (6), pp. 1263-70. Date of Electronic Publication: 2011 Jan 31. - Publication Year :
- 2011
-
Abstract
- Background: Major artery aneurysms may be found incidentally while evaluating moyamoya disease (MMD). The purpose of this study was to delineate the prevalence and characteristics of these uncommon aneurysms with a brief mention of their management and outcomes.<br />Methods: We conducted a retrospective review of 249 adult patients who were diagnosed with non-hemorrhagic MMD. Cerebral angiograms obtained at the time of initial diagnosis were carefully reviewed to identify incidental aneurysms located on a major intracranial artery or near its tributaries. Aneurysms originating from distal peripheral arteries or moyamoya vessels were ineligible for this study.<br />Results: Nine patients (3.6%) were found to have 13 major artery aneurysms, 7 (54%) of which were located in the posterior circulation, especially in older patients with bilateral MMD. The sizes of all aneurysms were less than 10 mm. Surgical clipping was performed on two aneurysms, and endovascular coiling on six (five posterior circulation aneurysms). Ischemic complications occurred in two patients after clipping of an anterior communicating artery aneurysm and in one patient after the second coiling of a recanalized basilar tip aneurysm.<br />Conclusions: Incidental major artery aneurysms can be found in 3.6% of adult patients with non-hemorrhagic MMD, an observed frequency that increases with age. About half of these aneurysms are located in the posterior circulation, particularly in older patients with bilateral MMD. Considering the risks of treatment-related complications, more information about the natural course of these aneurysms is needed to design proper management strategies both for the aneurysms and MMD.
- Subjects :
- Adult
Age Factors
Aged
Cerebral Angiography
Cerebral Infarction epidemiology
Comorbidity
Cross-Sectional Studies
Female
Humans
Image Processing, Computer-Assisted
Imaging, Three-Dimensional
Intracranial Aneurysm epidemiology
Intracranial Hemorrhages epidemiology
Japan
Magnetic Resonance Angiography
Male
Middle Aged
Moyamoya Disease epidemiology
Retrospective Studies
Young Adult
Cerebral Infarction diagnosis
Cerebral Infarction surgery
Embolization, Therapeutic
Incidental Findings
Intracranial Aneurysm diagnosis
Intracranial Aneurysm surgery
Intracranial Hemorrhages diagnosis
Intracranial Hemorrhages surgery
Moyamoya Disease diagnosis
Moyamoya Disease surgery
Surgical Instruments
Subjects
Details
- Language :
- English
- ISSN :
- 0942-0940
- Volume :
- 153
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Acta neurochirurgica
- Publication Type :
- Academic Journal
- Accession number :
- 21279660
- Full Text :
- https://doi.org/10.1007/s00701-011-0948-y