A rare case of a ruptured middle meningeal aneurysm causing intracerebral hematoma in a patient with moyamoya disease.
Moyamoya disease is infrequently associated with intracranial aneurysms arising from the circle of Willis vessels or from "peripheral" branches of choroidal and meningeal vessels. We present a rare case of a moyamoya-related aneurysm arising along the dural junction of multiple meningeal branches from the external carotid artery causing intracerebral hemorrhage. Endovascular coil embolization of the middle meningeal artery (MMA) and occipital artery (OA) led to delayed aneurysm obliteration without rehemorrhage.
Koebbe
Christopher J
CJ
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Horowitz
Michael B
MB
D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000628:therapy; D002342:Carotid Artery, External; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000628:therapy; D002552:Cerebral Ventricles; D004621:Embolization, Therapeutic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008576:Meningeal Arteries / Q000000981:diagnostic imaging*; D009072:Moyamoya Disease / Q000000981:diagnostic imaging*; D009460:Neurologic Examination; D009778:Occipital Lobe / Q000098:blood supply / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed