CAJ | 학술논문

烟雾病合并动脉瘤的形成可能与血流动力学改变相关，临床上多表现为不同类型的颅内出血，也可表现为脑缺血，主要依靠数字减影血管造影（digital subtraction angiography，DSA）、计算机断层扫描血管成像（computed tomography angiography，CTA）等诊断。根据动脉瘤的部位不同可分别采取外科手术或血管内栓塞等治疗方法，其长期疗效仍需探讨。本文就烟雾病合并动脉瘤形成的可能原因、临床特征及诊疗策略加以阐述，以期增加对MMD合并动脉瘤的进一步了解。
연무병합병동맥류적형성가능여혈류동역학개변상관，림상상다표현위불동류형적로내출혈，야가표현위뇌결혈，주요의고수자감영혈관조영（digital subtraction angiography，DSA）、계산궤단층소묘혈관성상（computed tomography angiography，CTA）등진단。근거동맥류적부위불동가분별채취외과수술혹혈관내전새등치료방법，기장기료효잉수탐토。본문취연무병합병동맥류형성적가능원인、림상특정급진료책략가이천술，이기증가대MMD합병동맥류적진일보료해。
Moyamoya disease combined with intracranial aneurysm may be caused by the hemodynamic changes. Most of its clinical symptoms are different types of intracranial hemorrhage, also can show cerebral ischemia. It can be diagnosed by digital subtraction angiography (DSA) and computed tomography angiography (CTA). According to the distribution of the aneurysms, different treatments can be applied, including surgery or endovascular embolization, but the long-term effects are unclear. In this paper, the possible causes, clinical features and treatment strategies of moyamoya disease combined with intracranial aneurysm were elaborated in order to increase the understanding of this disease.