Tsuboki Shimpei, Mitsutake Takafumi, Kadooka Keisuke, Tanaka Michihiro
Department of Neuroendovascular Surgery, Kameda Medical Center, Kamogawa, JPN.
Department of Neurosurgery, Kameda Medical Center, Kamogawa, JPN.
Cureus. 2024 Jul 25;16(7):e65340. doi: 10.7759/cureus.65340. eCollection 2024 Jul.
Peripheral aneurysms associated with moyamoya disease, particularly those originating from the anterior choroidal artery, often have a poor prognosis and are typically managed with endovascular treatments. Comprehensive imaging diagnostics and anatomical expertise are critical in minimizing ischemic complications during treatment. We present a case of a 55-year-old woman with a rapidly enlarging distal anterior choroidal artery aneurysm identified during an intracerebral hemorrhage associated with moyamoya disease. The patient underwent super-selective embolization using N-butyl-2-cyanoacrylate (NBCA) during the chronic phase, resulting in a favorable outcome. Detailed intraoperative imaging was essential in guiding the treatment and mitigating risks.
与烟雾病相关的周围动脉瘤，尤其是那些起源于脉络膜前动脉的动脉瘤，通常预后较差，通常采用血管内治疗。全面的影像学诊断和解剖学专业知识对于将治疗期间的缺血性并发症降至最低至关重要。我们报告一例55岁女性病例，在与烟雾病相关的脑出血期间发现远端脉络膜前动脉动脉瘤迅速增大。患者在慢性期接受了使用N-丁基-2-氰基丙烯酸酯（NBCA）的超选择性栓塞治疗，取得了良好的效果。详细的术中影像学检查对于指导治疗和降低风险至关重要。
