Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Ruptured Persistent Trigeminal Artery Aneurysm Associated with Moyamoya Disease - Case Report -

모야모야병을 가진 파열된 지속성 삼차신경동맥 동맥류 - 증례보고 -

  • Yun, Byung Min (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Ahn, Jae Sung (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kim, Joon Soo (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kwon, Yang (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kwun, Byung Duk (Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan)
  • 윤병민 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 안재성 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 김준수 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 권양 (울산대학교 의과대학 서울중앙병원 신경외과학교실) ;
  • 권병덕 (울산대학교 의과대학 서울중앙병원 신경외과학교실)
  • Received : 1999.07.22
  • Accepted : 2001.05.08
  • Published : 2001.06.28
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Abstract

Moyamoya disease is defined as the development of collateral pathways, associated with bilateral chronic progressive stenosis of the carotid fork. Persistent trigeminal artery is the vessel most frequently observed to persist into adult life among persistent carotid-basilar and carotid-vertebral anastomotic vessels. The authors present a man who had a sudden, severe headache and brain CT showed subarachnoid hemorrhage in left interpeduncular and prepontine cistern. Four-vessel angiogram revealed moyamoya disease associated with aneurysm arising from the junction of persistent trigeminal artery aneurysm and basilar artery. As a treatment, coil embolization was tried but it was failed because of anatomical difficulty of aneurysm. The aneurysm was successfully treated with clipping surgery 10 days later. To our knowledge, this is the first case being reported.

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