지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 356 - 360 (5page)
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초록· 키워드
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The coexistence of moyamoya disease (MMD) with an arteriovenous malformation (AVM) is exceedingly rare. We report two cases of AVM associated with MMD. The first case was an incidental AVM diagnosed simultaneously with MMD. This AVM was managed expectantly after encephalo-duro-arterio-synangiosis (EDAS) as the main feeders stemmed from the internal carotid artery, which we believed would be obliterated with the progression of MMD. However, the AVM persisted with replacement of the internal carotid artery feeders by new external carotid artery feeders from the EDAS site. The AVM was eventually treated with gamma knife radiosurgery considering an increasing steal effect. The second case was a de novo AVM case. The patient was initially diagnosed with MMD, and acquired an AVM eight years later that was slowly fed by the reconstituted anterior cerebral artery. Because the patient remained asymptomatic, the AVM is currently being closely followed for more than 2 years without further surgical intervention. Possible differences in the pathogenesis and the radiologic presentation of these AVMs are discussed with a literature review. No solid consensus exists on the optimal treatment of MMD-associated AVMs. Gamma knife radiosurgery appears to be an effective treatment option for an incidental AVM. However, a de novo AVM may be managed expectantly considering the possible risks of damaging established collaterals, low flow characteristics, and probably low risks of rupture.
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참고문헌 (16)
참고문헌 신청
Akiyama K / 1994 / Arteriovenous malformation associated with moyamoya disease : case report / Surg Neurol 41:468~471
Chen Z / 2007 / Giant arteriovenous malformation associated with unilateral moyamoya disease in a child : case report / Surg Neurol 67:89~92
Fujimura M / 2014 / Development of a de novo arteriovenous malformation after bilateral revascularization surgery in a child with moyamoya disease / J Neurosurg Pediatr 13:647~649
Fukui M / 1997 / Guidelines for the diagnosis and treatment of spontaneous occlusion of the circle of Willis (‘moyamoya’ disease). Research Committee on Spontaneous Occlusion of the Circle of Willis (Moyamoya Disease) of the Ministry of Health and Welfare, Japan / Clin Neurol Neurosurg 99(Suppl 2):S238~S240
Fuse T / 1996 / Arteriovenous malformation associated with moyamoya disease / Childs Nerv Syst 12:404~408
Chen Z / 2007 / Giant arteriovenous malformation associated with unilateral moyamoya disease in a child : case report / Surg Neurol 67:89~92
Fujimura M / 2014 / Development of a de novo arteriovenous malformation after bilateral revascularization surgery in a child with moyamoya disease / J Neurosurg Pediatr 13:647~649
Fukui M / 1997 / Guidelines for the diagnosis and treatment of spontaneous occlusion of the circle of Willis (‘moyamoya’ disease). Research Committee on Spontaneous Occlusion of the Circle of Willis (Moyamoya Disease) of the Ministry of Health and Welfare, Japan / Clin Neurol Neurosurg 99(Suppl 2):S238~S240
Fuse T / 1996 / Arteriovenous malformation associated with moyamoya disease / Childs Nerv Syst 12:404~408
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