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01-12-2024 | Subdural Hematoma | Case Report

Spontaneous occlusion of ruptured microaneurysm formed on postoperative transosseous anastomosis after indirect revascularization in a patient with moyamoya disease

Authors: Kazuki Kondo, Shoko Hara, Azumi Kaneoka, Motoki Inaji, Yoji Tanaka, Tadashi Nariai, Taketoshi Maehara

Published in: Acta Neurochirurgica | Issue 1/2024

Abstract

A 40-year-old female with a history of ischemic moyamoya disease treated with indirect revascularization at ages 12 and 25 years presented with a sudden severe headache. Imaging studies revealed focal parenchymal hemorrhage and acute subdural hematoma, confirming a microaneurysm formed on the postoperative transosseous vascular network as the source of bleeding. Conservative management was performed, and no hemorrhage recurred during the 6-month follow-up period. Interestingly, follow-up imaging revealed spontaneous occlusion of the microaneurysm. However, due to the rarity of this presentation, the efficacy of conservative treatment remains unclear. Further research on similar cases is warranted.

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Title: Spontaneous occlusion of ruptured microaneurysm formed on postoperative transosseous anastomosis after indirect revascularization in a patient with moyamoya disease
Authors: Kazuki Kondo
Shoko Hara
Azumi Kaneoka
Motoki Inaji
Yoji Tanaka
Tadashi Nariai
Taketoshi Maehara
Publication date: 01-12-2024
Publisher: Springer Vienna
Keywords: Subdural Hematoma
Angiography
Aneurysm
Aneurysm
Published in: Acta Neurochirurgica / Issue 1/2024
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-024-06102-1

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Spontaneous occlusion of ruptured microaneurysm formed on postoperative transosseous anastomosis after indirect revascularization in a patient with moyamoya disease

Abstract

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Springer Medicine

Abstract

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