Moyamoya disease associated with arteriovenous malformation and anterior communicating artery aneurysm: A case report and literature review

Yu,Jinlu; Yuan,Yongjie; Zhang,Duoduo; Xu,Kan

doi:10.3892/etm.2016.3289

Moyamoya disease associated with arteriovenous malformation and anterior communicating artery aneurysm: A case report and literature review

Authors:
- Jinlu Yu
- Yongjie Yuan
- Duoduo Zhang
- Kan Xu
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Affiliations: Department of Neurosurgery, First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China, Department of Radiotherapy, Third Hospital of Jilin University, Changchun, Jilin 130021, P.R. China
Published online on: April 21, 2016 https://doi.org/10.3892/etm.2016.3289
Pages: 267-271
Copyright: © Yu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Moyamoya disease (MMD) can be associated with an aneurysm or arteriovenous malformation (AVM). However, no case of MMD simultaneously associated with both intracranial aneurysm and AVM has been previously reported. The present study reports the case of a patient with MMD simultaneously associated with both aneurysm and AVM. The patient was a 46‑year‑old woman presenting with a subarachnoid hemorrhage whose imaging diagnosis of MMD was associated with an aneurysm and AVM. The aneurysm was located in the anterior communicating artery, which was similar to a berry aneurysm caused by hemodynamics. The AVM was located in the posterior circulation. Beyond the presentation of the posterior cerebral artery, the appearance of an artery supplying blood from the middle cerebral artery supported the view that the AVM was congenital and unruptured. Conservative treatment was provided and examination of the patient at follow‑up showed good recovery. In addition to the case report, the present study also reviewed the relevant literature in order to compile information on MMD associated with both an aneurysm and AVM.

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