Diagnosis, treatment and prognosis of intracranial aneurysms in adults with hemorrhagic moyamoya disease
LI Shun
TANG Xiao-ping
WEN Jun
LUO Ren-guo
ZHANG Liu
DUAN Jun-wei
PENG Hua
ZHAO long
Abstract：Objective To investigate the clinical characteristics and strategies of the diagnosis and treatment of intracranial aneurysms in the adults with hemorrhagic moyamoya disease (HMMD).Methods The clinical data of 63 patients with HMMD treated from July,2010 to March,2015,of whom,8 suffered from intracranial aneurysms and 55 not,were analyzed retrospectively.Results The aneurysms located at distal to Willis circles in 3 patients and at Willis circles in 5.Of 8 patients with intracranial aneurysms,5 were treated by endovascularly embolization combined with superficial temporal artery-middle cerebral artery (STA-MCA) bypass,1 by clipping intracranial aneurysm combined with STA-MCA bypass,and 2 conservatively.The curative effect was good in 6 patients undergoing the surgery and endovascular embolization.Other two patients who were conservatively treated died of intracranial rebleeding respectively 11 and 60 days after the first intracranial bleeding.Conclusions The curative effects of endovascular embolization and clipping on the intracranial aneurysms are good in the adults with HMMD.The prognosis is poor in the adults with intracranial aneurysms associated with HMMD only receiving the conservative treatment.
Keywords：Moyamoya diseaseIntracranial hemorrhageIntracranial aneurysmClippingEndovascular embolizationSuperficial temporal artery-middle cerebral artery bypass
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 213-215 )