Abstract
Our purpose was to assess the value of threedimensional (3D) CT angiography in the diagnosis of moyamoya disease. We studied seven patients with moyamoya disease proved by conventional angiography. Three-dimensional (3D) CT angiography was performed using rapid sequence or helical (spiral) scanning in conjunction with a bolus injection of intravenous contrast medium. All seven patients could be diagnosed as having moyamoya disease on the basis of the following 3D CT angiographic findings: poor visualisation of the main trunks and/or major branches of anterior and middle cerebral arteries (7 patients); dilated leptomeningeal anastomotic channels from the posterior cerebral arteries (4); and demonstration of “moyamoya vessels” in the basal ganglia (2). Although conventional angiography remains the principal imaging technique for demonstrating anatomical changes in detail, less invasive 3D CT angiography provides a solid means of diagnosing moyamoya disease when it is suspected on CT, MRI, or clinical grounds.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Takahashi M, Miyauchi T, Kowada M (1980) Computed tomography of moyamoya disease: demonstration of occluded arteries and collateral vessels as important diagnostic signs. Radiology 134:671–676
Asari S, Satoh T, Sakurai M, Yamamoto Y, Sadamoto K (1982) The advantage of coronal scanning in cerebral computed angiotomography for diagnosis of moyamoya disease. Radiology 145:709–711
Fujisawa I, Asato R, Nishimura K, Togashi K, Itoh K, Noma S, Sagoh T, Minami S, Nakano Y, Yonekawa Y, Torizuka K (1987) Moyamoya disease: MR imaging. Radiology 164:103–105
Gillespie JE, Adams JE, Isherwood I (1987) Three-dimensional computed tomographic reformations of sellar and para-sellar lesions. Neuroradiology 29:30–35
Gholkar A, Isherwood I (1988) Three-dimensional computed tomographic reformations of intracranial vascular lesions. BJR 61:258–261
Aoki S, Sasaki Y, Machida T, Ohkubo T, Minami M, Sasaki Y (1992) Cerebral aneurysms: detection and delineation using 3-D-CT angiography. AJNR 13:1115–1120
Harbaugh RE, Schlusselberg DS, Jeffery R, Hayden S, Cromwell LD, Pluta D (1992) Three-dimensional computerized tomography angiography in the diagnosis of cerebrovascular disease. J Neurosurg 76:408–414
Napel S, Marks MP, Rubin GD, Dake MD, McDonnell CH, Song SM, Enzmann DR, Jeffery RB Jr (1992) CT angiography with spiral CT and maximum intensity projection. Radiology 185:607–610
Tsuchiya K, Yoshida H, Makita K (1992) Three-dimensional CT angiography of cerebral aneurysms (in Japaneses). Jpn J Clin Radiol 37:1617–1620
Suzuki J, Takasu A, Asahi M (1960) The disease showing the abnormal vascular network at the base of brain, particularly found in Japan. II. A follow-up study (in Japanese). Brain Nerve 18:897–908
Yamada I, Matsushima Y, Suzuki S (1992) Moyamoya disease: diagnosis with three-dimensional time-of-flight MR angiography. Radiology 184:773–778
Dumoulin CL, Hart HR Jr (1986) Magnetic resonance angiography. Radiology 161:717–720
Edelman RR, Mattle HP, Atkinson DJ, Hoogewood HM (1990) MR angiography. AJR 154:937–946
Heisherman JE (1992) The role of magnetic resonance angiography in the evaluation of cerebrovascular ischemic disease. Neuroimaging Clin North Am 2:753–767
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tsuchiya, K., Makita, K. & Furui, S. Moyamoya disease: diagnosis with three-dimensional CT angiography. Neuroradiology 36, 432–434 (1994). https://doi.org/10.1007/BF00593677
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00593677