Ruptured Persistent Trigeminal Artery Aneurysm Associated with Moyamoya Disease.
- Author:
Byung Min YUN
1
;
Jae Sung AHN
;
Joon Soo KIM
;
Yang KWON
;
Byung Duk KWUN
Author Information
1. Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
SAH;
Moyamoya disease;
Persistent Trigeminal artery;
Aneurysm
- MeSH:
Adult;
Aneurysm*;
Arteries*;
Basilar Artery;
Brain;
Constriction, Pathologic;
Embolization, Therapeutic;
Headache;
Humans;
Moyamoya Disease*;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
2001;30(6):769-773
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Moyamoya disease is defined as the development of collateral pathways, associated with bilateral chronic progressive stenosis of the carotid fork. Persistent trigeminal artery is the vessel most frequently observed to persist into adult life among persistent carotid-basilar and carotid-vertebral anastomotic vessels. The authors present a man who had a sudden, severe headache and brain CT showed subarachnoid hemorrhage in left interpeduncular and prepontine cistern. Four-vessel angiogram revealed moyamoya disease associated with aneurysm arising from the junction of persistent trigeminal artery aneurysm and basilar artery. As a treatment, coil embolization was tried but it was failed because of anatomical difficulty of aneurysm. The aneurysm was successfully treated with clipping surgery 10 days later. To our knowledge, this is the first case being reported.
