Onyx Embolization of a Ruptured Rotundum Foreman Artery Aneurysm in a Patient with Moyamoya Disease: A Case Report.

Abstract

BACKGROUND:

Hemorrhage caused by the rupture of a rotundum foreman artery pseudoaneurysm in Moyamoya disease (MMD) is rarely reported.

CASE DESCRIPTION:

We report a case of 46-year-old man with MMD presenting with left temporal lobe hemorrhage. Cerebral angiogram showed a pseudoaneurysm located on the rotundum branch of the left internal maxillary artery, which anastomosed with a pial vessel. Using onyx 18, we successfully embolized the pseudoaneurysm. The patient was discharged neurologically intact.

CONCLUSION:

Given the difficulties and risks of surgery, onyx embolization of rotundum foreman artery aneurysm accompanied with MMD is feasible and effective.

• Authors: Peng Liu, Xianli Lv, Youxiang Li, Ming Lv
• Journal: World neurosurgery (World Neurosurg) Vol. 84 Issue 4 Pg. 1178.e1-3 (Oct 2015) ISSN: 1878-8769 [Electronic] United States
• PMID: 26118722 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: Copyright © 2015 Elsevier Inc. All rights reserved.

Chemical References

• Drug Combinations
• Onyx 18
• Polyvinyls
• Tantalum

Topics

• Aneurysm, Ruptured (etiology, therapy)
• Cerebral Hemorrhage (etiology, surgery)
• Drug Combinations
• Embolization, Therapeutic (methods)
• Female
• Humans
• Intracranial Aneurysm (etiology, therapy)
• Middle Aged
• Moyamoya Disease (complications, therapy)
• Polyvinyls
• Tantalum
• Treatment Outcome