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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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Department of Radiology, Neurosurgery*, Anesthesiology**, Asan Medical Center,University of Ulsan College of Medicine, Seoul, Korea
Background: Intracranial saccular aneurysms are not uncommon findings in patients with moyamoya disease. The discovery of a saccular aneurysm in underlying moyamoya patient with SAH is a diagnostic and therapeutic challenge. The purpose of the present study was to explore the frequencies and clinical significance of intracranial saccular aneurysms in moyamoya disease. Methods: Of 206 patients with moyamoya disease registered in our institute, six patients who have intracranial saccular aneurysms were enrolled in this study. Medical and radiological records were collected from registry, retrospectively. Incidence, distribution, and size of aneurysms and clinical outcome were investigated. Results: Six patients had total eight saccular aneurysms. Locations of aneurysms were; the aneurysms located at the circle of Willis including the basilar artery (n=2), posterior communicating artery (n=1), and superior cerebellar artery (n=1), at the collateral vessels including the anterior and posterior choroidal artery (n=3), and between the persistent trigeminal artery and the basilar artery (n=1). The longest diameter of aneurysms ranged from 3 mm to 15 mm (mean, 7.6 mm). 75% of the cases whose initial Hunt and Hess grade (H&H grade) were 1, 2, or 3 showed favorable outcome. 50% of H&H grade 4 cases had an unfavorable outcome of GOS 3. There was no difference in outcome with regard to the aneurysmal location. Conclusion: Saccular aneurysms in moyamoya disease is uncommon and tend to be located in the posterior circulation. The outcome of patients depends on initial clinical status rather than the location of aneurysm.
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