Onyx embolization of a ruptured aneurysm in a patient with moyamoya disease.
Publication/Presentation Date
10-1-2015
Abstract
We report a woman who presented with an intraparenchymal hemorrhage. Her cerebral angiogram showed a middle cerebral artery (MCA) M1 occlusion with multiple collaterals supplying the distal MCA territory, compatible with moyamoya disease. Also, an associated 8 mm dysplastic distal aneurysm fed by a left-sided P2 perforator was seen, collateral from the posterior cerebral artery. The aneurysm was successfully occluded with Onyx (ev3 Endovascular, Plymouth, MN, USA) embolization. The woman had an uneventful postoperative course. Aneurysm formation in patients with moyamoya disease represents a major hemorrhagic risk. Several treatment strategies exist including endovascular and surgical approaches. Patients with moyamoya disease who present with aneurysmal intracerebral hemorrhage should be treated to prevent rebleeding. Onyx embolization can be an effective treatment of aneurysms that are associated with moyamoya disease and would otherwise be difficult to treat surgically.
Volume
22
Issue
10
First Page
1693
Last Page
1696
ISSN
1532-2653
Published In/Presented At
Daou, B., Chalouhi, N., Tjoumakaris, S., Rosenwasser, R. H., & Jabbour, P. (2015). Onyx embolization of a ruptured aneurysm in a patient with moyamoya disease. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 22(10), 1693–1696. https://doi.org/10.1016/j.jocn.2015.05.017
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
26209917
Department(s)
Administration and Leadership
Document Type
Article