American Journal of Neuroradiology 27:1576-1578, August 2006
© 2006 American Society of Neuroradiology
Case Report
SPINE
Pseudoaneurysm of the Anterior Spinal Artery in a Patient with Moyamoya: An Unusual Cause of Subarachnoid Hemorrhage
a Department of Radiology, North Shore University Hospital, Manhasset, NY
Address correspondence to Daniel M. Walz, MD, 58 Marwood Rd North, Port Washington, NY 11050; e-mail: danwalz{at}hotmail.com
SUMMARY: Subarachnoid hemorrhage (SAH) is a recognized presentation of Moyamoya disease in adults. Because there are extensive collateral networks and potential complications that develop, a thorough investigation of the intracranial and extracranial circulation is necessary to exclude a treatable cause when these patients present with SAH. We present a case of SAH due to a ruptured pseudoaneurysm of the anterior spinal artery arising from the supreme intercostal artery, which was the sole source of blood supply to the intracranial circulation.