title: Ruptured posterior ethmoidal artery aneurysm and Moyamoya disease in an adult patient. Case report.
abstract: The association between Moyamoya disease and intracranial aneurysms is well described. In our case, we describe a unique aneurismal location and its management. We report the case of a 74-year-old woman affected by a Moyamoya disease who displayed a frontal lobe hematoma. The origin of the bleeding came from the rupture of a posterior ethmoidal artery aneurysm that was treated surgically with favourable outcome. This case of a ruptured posterior ethmoidal artery aneurysm in a Moyamoya patient illustrates the polymorphism of the vascular complications encountered in this disease. It stresses the need to obtain information from an angiographic investigation in order to select the best therapeutic option and to reduce procedural complications.
authors.affiliation: Department of neurosurgery, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Aix-Marseille Université, 13000 Marseille, France. Electronic address: anthony.melot@ap-hm.fr.
authors.forename: A
authors.initials: A
authors.lastname: Mélot
authors.affiliation: Department of neurosurgery, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Aix-Marseille Université, 13000 Marseille, France.
authors.forename: J-V
authors.initials: JV
authors.lastname: Chazot
authors.affiliation: Department of neurosurgery, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Aix-Marseille Université, 13000 Marseille, France.
authors.forename: L
authors.initials: L
authors.lastname: Troude
authors.affiliation: Department of neurosurgery, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Aix-Marseille Université, 13000 Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: De la Rosa
authors.affiliation: Department of neuroradiology, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Aix-Marseille Université, 13000 Marseille, France.
authors.forename: H
authors.initials: H
authors.lastname: Brunel
authors.affiliation: Department of neurosurgery, Assistance publique-Hôpitaux de Marseille, 13000 Marseille, France; Aix-Marseille Université, 13000 Marseille, France.
authors.forename: P-H
authors.initials: PH
authors.lastname: Roche
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D000072226:Computed Tomography Angiography; D005260:Female; D005625:Frontal Lobe / Q000098:blood supply* / Q000000981:diagnostic imaging; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D008866:Microsurgery; D009072:Moyamoya Disease / Q000150:complications* / Q000000981:diagnostic imaging
keywords: Aneurysm; Anévrisme; Artère ethmoïdale postérieure; Brain hematoma; Hématome cérébral; Maladie de Moyamoya; Moyamoya disease; Posterior ethmoidal artery