Endovascular treatment of posterior cerebral aneurysm associated with Moyamoya disease.
OBJECTIVE
A patient with moyamoya disease associated with a ruptured posterior cerebral artery aneurysm treated by endovascular embolization is presented.


METHODS
A 47-year-old woman was admitted with severe headache to our hospital. Computed tomography demonstrated subarachnoid haemorrhage. Cerebral angiography revealed evidence of moyamoya disease and a saccular aneurysm at the P1 segment of the left posterior cerebral artery.


CONCLUSIONS
Endovascular embolization was performed using Guglielmi detachable coil (GDC), and the aneurysm was completely occluded with preservation of the parent artery. Endovascular treatment using GDC seems comparatively safe and effective for the treatment of cerebral saccular aneurysms in patients with moyamoya disease.
Nishio
A
A
Department of Neurosurgery, Osaka City University Medical School, Osaka, Japan. m3275727@med.osaka-cu.ac.jp
Hara
M
M
Otsuka
Y
Y
Tsuruno
T
T
Murata
T
T
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D016893:Carotid Stenosis / Q000000981:diagnostic imaging / Q000628:therapy; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D009072:Moyamoya Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000000981:diagnostic imaging