title: Moyamoya disease associated with arteriovenous malformation and anterior communicating artery aneurysm: A case report and literature review.
abstract: Moyamoya disease (MMD) can be associated with an aneurysm or arteriovenous malformation (AVM). However, no case of MMD simultaneously associated with both intracranial aneurysm and AVM has been previously reported. The present study reports the case of a patient with MMD simultaneously associated with both aneurysm and AVM. The patient was a 46-year-old woman presenting with a subarachnoid hemorrhage whose imaging diagnosis of MMD was associated with an aneurysm and AVM. The aneurysm was located in the anterior communicating artery, which was similar to a berry aneurysm caused by hemodynamics. The AVM was located in the posterior circulation. Beyond the presentation of the posterior cerebral artery, the appearance of an artery supplying blood from the middle cerebral artery supported the view that the AVM was congenital and unruptured. Conservative treatment was provided and examination of the patient at follow-up showed good recovery. In addition to the case report, the present study also reviewed the relevant literature in order to compile information on MMD associated with both an aneurysm and AVM.
authors.affiliation: Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Jinlu
authors.initials: J
authors.lastname: Yu
authors.affiliation: Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Yongjie
authors.initials: Y
authors.lastname: Yuan
authors.affiliation: Department of Radiotherapy, Third Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Duoduo
authors.initials: D
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Kan
authors.initials: K
authors.lastname: Xu
keywords: anterior communicating artery aneurysm; arteriovenous malformation; moyamoya disease