Abstract：
BACKGROUND:We report the efficacy and safety of surgical treatment with the orbitozygomatic transsylvian approach and the rarity of accompanying subarachnoid hemorrhage, Terson syndrome, and ruptured giant basilar tip aneurysm in a patient affected by moyamoya disease with a good outcome. METHODS:A 40-year-old man with a history of exertional headache from childhood and hypertension diagnosed 5 years previously was referred to us with the presenting symptom of headache. After 1 day, he developed left hemiplegia, decreased level of consciousness, and blindness in the left eye. Imaging studies revealed a subarachnoid hemorrhage and giant basilar tip aneurysm. He underwent surgical clipping of the aneurysm using the orbitozygomatic transsylvian approach. RESULTS:With obvious improvement in strength and consciousness, the patient was discharged. Early diagnosis and treatment of the other possible complications of moyamoya disease were recommended. CONCLUSIONS:The rarity and different manifestations of moyamoya disease require individualized decision making with regard to cerebrovascular complications. Individualized decision making and the cooperation of medical teams are the mainstays of treatment.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Samadian M,Alavi E,Bakhtevari MH,Rezaei Odoi
10.1016/j.wneu.2015.03.059subject
Has Abstractpub_date
2015-09-01 00:00:00pages
865.e7-11issue
3eissn
1878-8750issn
1878-8769pii
S1878-8750(15)00354-Xjournal_volume
84pub_type
杂志文章abstract：OBJECTIVES:To determine the criteria used by neurosurgery resident selection committees in different programs and to assess the process of selection. METHODS:A questionnaire based on the Electronic Residency Application Service (ERAS) guidelines was mailed to all 100 neurosurgery residency program directors in August ...
journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2013.08.019
更新日期：2014-03-01 00:00:00
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journal_title：World neurosurgery
pub_type： 杂志文章,meta分析
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journal_title：World neurosurgery
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doi：10.1016/j.wneu.2019.07.142
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journal_title：World neurosurgery
pub_type： 杂志文章
doi：10.1016/j.wneu.2019.12.080
更新日期：2020-03-01 00:00:00
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journal_title：World neurosurgery
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更新日期：2018-01-01 00:00:00
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
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journal_title：World neurosurgery
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journal_title：World neurosurgery
pub_type： 杂志文章
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pub_type： 历史文章,杂志文章
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更新日期：2010-04-01 00:00:00
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更新日期：2019-09-01 00:00:00
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pub_type： 杂志文章
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更新日期：2017-03-01 00:00:00
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更新日期：2019-09-01 00:00:00
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更新日期：2017-12-01 00:00:00
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更新日期：2019-06-01 00:00:00
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