Transcallosal, transchoroidal clipping of a hypothalamic collateral vessel aneurysm in Moyamoya disease

Peripheral collateral vessel aneurysms in Moyamoya disease (MMD) remain difficult to treat due to their deep location, small size, and vascular fragility. We report the case of an aneurysm localized in the hypothalamus, which was rapidly increasing in size with repeated hemorrhage despite revascular...

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Detalles Bibliográficos
Autores principales: Ho, Wing Mann, Görke, Alice Stephanie, Dazinger, Florian, Pfausler, Bettina, Gizewski, Elke R., Petr, Ondra, Thomé, Claudius
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2020
Materias:
Case Report - Vascular Neurosurgery - Arteriovenous malformation
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7360665/
https://www.ncbi.nlm.nih.gov/pubmed/32306162
http://dx.doi.org/10.1007/s00701-020-04335-4
Descripción
Sumario:Peripheral collateral vessel aneurysms in Moyamoya disease (MMD) remain difficult to treat due to their deep location, small size, and vascular fragility. We report the case of an aneurysm localized in the hypothalamus, which was rapidly increasing in size with repeated hemorrhage despite revascularization surgery. Aneurysm clipping was performed to prevent further progress and rerupture with favorable outcome. To our best knowledge, this is the first description of a hypothalamic aneurysm in MMD being clipped via a transcallosal, transchoroidal approach through the third ventricle. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00701-020-04335-4) contains supplementary material, which is available to authorized users.

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