Moyamoya phenomenon

Case contributed by Paresh K Desai
Diagnosis almost certain

Presentation

Subarachnoid hemorrhage

Patient Data

Age: Adult
dsa

First and second images show internal carotid artery stenosis.

Third image shows vertebral artery origin stenosis.

Fourth image shows collaterals of Moyamoya phenomenon.

Last image shows collateral from posterior circulation.

dsa

Right internal carotid angiography shows Moyamoya phenomenon.

Case Discussion

Angiography was performed in a patient with right Sylvian fissure SAH with suspicion of MCA aneurysm.

DSA revealed severe stenosis of Intracranial ICA with Moyamoya pattern of collateral vessels.

There is a tight stenosis at the left vertebral origin.

Final diagnosis: Moyamoya phenomenon.

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