モヤモヤ病に合併し発生と消失を認めた前脈絡動脈末梢部脳動脈瘤の1例 ： 症例報告と文献的考察

Abstract

We experienced a case which had an aneurysm associated with Moyamoya disease. A 63-year-old male was admitted to our hospital with the diagnosis of cerebral infarction in 1987. He was readmitted with the diagnosis of intracerebral hemorrhage with ventricular rupture in July 1990. Cerebral angiogram showed that an aneurysm had developed at the distal portion of the anterior choroidal artery. The aneurysm was treated conservatively and disappeared on 43 days after onset. To prevent intracranial hemorrhage again, he underwent reconstructive surgery on both sides. In this paper, we reviewed 34 reporoed cases of distal artery aneurysm associated with Moyamoya disease and Moyamoya-like disease and discuss the choices of therapy.