title: Treatment strategies for aneurysms associated with moyamoya disease.
abstract: The treatment of aneurysms associated with moyamoya disease (MMD) is difficult for neurosurgeons, and little is known of strategy options. This report constitutes a comprehensive review of the literature. We summarize the known treatments and their clinical outcomes according to the site of the aneurysm: in major arteries, peripheral arteries, moyamoya vessels, meningeal arteries, or at the site of anastomosis. The literature review indicates that the treatment of MMD-associated aneurysms varies according to the site of the aneurysm and its hemodynamic characteristics. In particular, the treatment for basilar tip aneurysms remains challenging, since both endovascular embolization and direct clipping are difficult. The potential risk for ischemia should be considered in selecting endovascular or surgical approaches. Revascularization surgery, which is important for the treatment of MMD, also determines the clinical treatment outcome of aneurysms associated with MMD.
authors: 1. Department of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, P.R. China ; 2. Department of Neurosurgery, General Hospital of Daqing Oilfield, Daqing, 163001, P.R. China.
authors: Lei
authors: L
authors: Zhang
authors: 1. Department of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, P.R. China.
authors: Kan
authors: K
authors: Xu
authors: 3. Department of Medicine, Third Hospital of Jilin University, Changchun, 130021, P.R. China.
authors: Yandong
authors: Y
authors: Zhang
authors: 1. Department of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, P.R. China.
authors: Xin
authors: X
authors: Wang
authors: 1. Department of Neurosurgery, First Hospital of Jilin University, Changchun, 130021, P.R. China.
authors: Jinlu
authors: J
authors: Yu
mesh_terms: D000783:Aneurysm / Q000150:complications / Q000453:epidemiology* / Q000473:pathology / Q000628:therapy; D001158:Arteries / Q000473:pathology; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000453:epidemiology* / Q000473:pathology / Q000628:therapy; D008875:Middle Aged; D009072:Moyamoya Disease / Q000150:complications / Q000453:epidemiology* / Q000473:pathology / Q000628:therapy; D016896:Treatment Outcome
keywords: Moyamoya disease; aneurysms; treatment