title: [A case of moyamoya disease with a subarachnoid hemorrhage treated with endovascular technique].
abstract: We report a case of a moyamoya disease presenting with subarachonoid hemorrhage (SAH) due to a ruptured aneurysm. A 40-year-old woman presented with sudden onset of headache and vomiting. Computed tomography (CT) showed diffuse thick SAH localized around basal cistern. 3D-CT Angiography (3D-CTA) and digital subtraction angiography (DSA) demonstrated a saccular aneurysm at the bifurcation of the left superior cerebellar artery and basilar artery. In addition, the both carotid arteries were occluded at the terminal portion and the territory of both middle cerebral arteries were perfused by abnormal moyamoya vessels. The aneurysm was completely embolized by endovascular embolization. The SAH due to a ruptured aneurysm associated with moyamoya disease is rare. We think endovascular therapy is safe and effective. However, a vasospasm of the catheter technique occurred during the operation. This fact is very important to consider when we treat diseases such as this in the future.
authors.affiliation: Department of Neurosurgery, Ogaki Municipal Hospital.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Wada
authors.forename: Kenichi
authors.initials: K
authors.lastname: Hattori
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Araki
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Noda
authors.forename: Hideki
authors.initials: H
authors.lastname: Maki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Oyama
authors.forename: Akira
authors.initials: A
authors.lastname: Kito
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Wakabayashi
mesh_terms: D000328:Adult; D001921:Brain / Q000098:blood supply*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D009072:Moyamoya Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome