Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report
Introduction. The rupture risk of intracranial aneurysms in patients with moyamoya disease is higher than that in the general population. We report a confirmed case of moyamoya disease with bilateral middle cerebral artery (MCA) occlusion with a large and long-lasting aneurysm. Case. A 71-year-old w...
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| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2022/2635724 |
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| author | Eunyoung Chae Soomin Jeong Chan-Hyuk Lee |
| author_facet | Eunyoung Chae Soomin Jeong Chan-Hyuk Lee |
| author_sort | Eunyoung Chae |
| collection | DOAJ |
| description | Introduction. The rupture risk of intracranial aneurysms in patients with moyamoya disease is higher than that in the general population. We report a confirmed case of moyamoya disease with bilateral middle cerebral artery (MCA) occlusion with a large and long-lasting aneurysm. Case. A 71-year-old woman visited the clinic with a large intracranial aneurysm. The patient was diagnosed with an ischemic stroke 2 months ago. She exhibited weakness in the left upper and lower extremities and dysarthria and was taking aspirin. The brain magnetic resonance imaging showed complete occlusion in the bilateral MCA proximal (M1) and a large 11 × 11 mm nonruptured cerebral aneurysm in the A3 segment of the left anterior cerebral artery. On transfemoral cerebral angiography, the patient was diagnosed with Suzuki grade VI moyamoya disease with bilateral MCA occlusion. After 7 years, the cerebral aneurysm size further increased, but it remained unruptured. Conclusions. Here, the patient had moyamoya disease with a large aneurysm, but aneurysmal rupture did not occur even after 7 years. Our case report might help in understanding the mechanisms of cerebral aneurysm occurrence and rupture in moyamoya patients. |
| format | Article |
| id | doaj-art-d7e8367225d84c19a313cb657b727ba9 |
| institution | Kabale University |
| issn | 2090-6676 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-d7e8367225d84c19a313cb657b727ba92025-02-03T06:00:55ZengWileyCase Reports in Neurological Medicine2090-66762022-01-01202210.1155/2022/2635724Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case ReportEunyoung Chae0Soomin Jeong1Chan-Hyuk Lee2Medical SchoolMedical SchoolDepartment of NeurologyIntroduction. The rupture risk of intracranial aneurysms in patients with moyamoya disease is higher than that in the general population. We report a confirmed case of moyamoya disease with bilateral middle cerebral artery (MCA) occlusion with a large and long-lasting aneurysm. Case. A 71-year-old woman visited the clinic with a large intracranial aneurysm. The patient was diagnosed with an ischemic stroke 2 months ago. She exhibited weakness in the left upper and lower extremities and dysarthria and was taking aspirin. The brain magnetic resonance imaging showed complete occlusion in the bilateral MCA proximal (M1) and a large 11 × 11 mm nonruptured cerebral aneurysm in the A3 segment of the left anterior cerebral artery. On transfemoral cerebral angiography, the patient was diagnosed with Suzuki grade VI moyamoya disease with bilateral MCA occlusion. After 7 years, the cerebral aneurysm size further increased, but it remained unruptured. Conclusions. Here, the patient had moyamoya disease with a large aneurysm, but aneurysmal rupture did not occur even after 7 years. Our case report might help in understanding the mechanisms of cerebral aneurysm occurrence and rupture in moyamoya patients.http://dx.doi.org/10.1155/2022/2635724 |
| spellingShingle | Eunyoung Chae Soomin Jeong Chan-Hyuk Lee Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report Case Reports in Neurological Medicine |
| title | Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report |
| title_full | Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report |
| title_fullStr | Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report |
| title_full_unstemmed | Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report |
| title_short | Long-Lasting Unruptured Large Intracranial Aneurysm in Bilateral Moyamoya Disease: Case Report |
| title_sort | long lasting unruptured large intracranial aneurysm in bilateral moyamoya disease case report |
| url | http://dx.doi.org/10.1155/2022/2635724 |
| work_keys_str_mv | AT eunyoungchae longlastingunrupturedlargeintracranialaneurysminbilateralmoyamoyadiseasecasereport AT soominjeong longlastingunrupturedlargeintracranialaneurysminbilateralmoyamoyadiseasecasereport AT chanhyuklee longlastingunrupturedlargeintracranialaneurysminbilateralmoyamoyadiseasecasereport |