抄録
A rare case of moyamoya disease with associated with ruptured basilar-superior cerebellar junction aneurysm is reported in this paper. The operation was performed with the trans-Sylvian approach and resulted in dome clipping because of premature of the aneurysm but collateral circulation associated with moyamoya disease was well preserved and no neurological deficit was observed after surgery.
The authors stress the absolute operative indication for a ruptured basilar aneurysm with moyamoya disease and the necessity of preserving collateral circulation especially in dura-pial anastomotic vessels.