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Case Reports
Onyx embolization of a ruptured rotundum foreman artery aneurysm in a patient with moyamoya disease: case report.
- Peng Liu, Xianli Lv, Youxiang Li, and Ming Lv.
- Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, China.
- World Neurosurg. 2015 Oct 1;84(4):1178.e1-3.
BackgroundHemorrhage caused by the rupture of a rotundum foreman artery pseudoaneurysm in Moyamoya disease (MMD) is rarely reported.Case DescriptionWe 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.ConclusionGiven the difficulties and risks of surgery, onyx embolization of rotundum foreman artery aneurysm accompanied with MMD is feasible and effective.Copyright © 2015 Elsevier Inc. All rights reserved.
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