Early operation of ruptured basilar artery aneurysm associated with bilateral carotid occlusion (moyamoya disease)

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23 Citations (Scopus)

Abstract

A 34-year-old Caucasian man presented with subarachnoid hemorrhage. Angiography revealed bilateral carotid occlusion at the cavernous sinus and an aneurysm at the basilar artery bifurcation. The whole brain was supplied with blood from the basilar artery and posterior cerebral arteries through a large number of collateral vessels to the internal carotid artery bifurcation, middle cerebral and anterior cerebral arteries: the moyamoya phenomenon. The aneurysm was clipped within hours of the subarachnoid hemorrhage. The relation between moyamoya disease and basilar artery aneurysms is discussed and some surgical and management considerations are given.

Original languageEnglish (US)
Pages (from-to)349-355
Number of pages7
JournalClinical Neurology and Neurosurgery
Volume90
Issue number4
DOIs
StatePublished - 1988
Externally publishedYes

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Moyamoya Disease
Ruptured Aneurysm
Intracranial Aneurysm
Subarachnoid Hemorrhage
Posterior Cerebral Artery
Anterior Cerebral Artery
Cavernous Sinus
Basilar Artery
Internal Carotid Artery
Aneurysm
Angiography
Brain

Keywords

  • aneurysm
  • basilar artery
  • early surgery
  • Moyamoya disease
  • subarachnoid hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery
  • Neurology

Cite this

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abstract = "A 34-year-old Caucasian man presented with subarachnoid hemorrhage. Angiography revealed bilateral carotid occlusion at the cavernous sinus and an aneurysm at the basilar artery bifurcation. The whole brain was supplied with blood from the basilar artery and posterior cerebral arteries through a large number of collateral vessels to the internal carotid artery bifurcation, middle cerebral and anterior cerebral arteries: the moyamoya phenomenon. The aneurysm was clipped within hours of the subarachnoid hemorrhage. The relation between moyamoya disease and basilar artery aneurysms is discussed and some surgical and management considerations are given.",
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AB - A 34-year-old Caucasian man presented with subarachnoid hemorrhage. Angiography revealed bilateral carotid occlusion at the cavernous sinus and an aneurysm at the basilar artery bifurcation. The whole brain was supplied with blood from the basilar artery and posterior cerebral arteries through a large number of collateral vessels to the internal carotid artery bifurcation, middle cerebral and anterior cerebral arteries: the moyamoya phenomenon. The aneurysm was clipped within hours of the subarachnoid hemorrhage. The relation between moyamoya disease and basilar artery aneurysms is discussed and some surgical and management considerations are given.

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