Regression of moyamoya-associated weak spots on the distal anterior choroidal artery following surgical revascularization
| Autor: | Szu-Kai Hsu, I-Chang Su, Chih-Ta Huang |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Hemodynamics Case Reports medicine.disease Revascularization Anterior choroidal artery 03 medical and health sciences 0302 clinical medicine Intraventricular hemorrhage medicine.anatomical_structure Internal medicine medicine Cardiology 030211 gastroenterology & hepatology Surgery Moyamoya disease business 030217 neurology & neurosurgery Surgical revascularization Cerebral angiography Artery |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | A 20-year-old female with moyamoya disease presented with acute intraventricular hemorrhage. Cerebral angiography demonstrated that the anterior choroidal artery (AChA) was responsible for the bleeding, but the precise point of rupture was unpredictable, because multiple angiographic weak spots were found on the artery. As direct targeting of the rupture point was unfeasible, we performed encephalo-duro-arterio-synangiosis to decrease the hemodynamic overload on the AChA. This revascularization procedure alone successfully induced the regression of all weak points. In this report, we demonstrated that, when direct targeting of weak points was not feasible, a revascularization procedure was an acceptable alternative. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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