Case Report

Treatment of Moyamoya Syndrome Associated with Systemic Lupus Erythematosus and Hypothyroidism in an Adult by Encephaloduroarteriosynangiosis: A Case Report

Figure 3

Preoperative head angiograms. Anteroposterior view (b) and lateral view of the left common carotid angiogram (c) indicating occlusion of the left internal carotid artery (ICA) at the C1 segment, leptomeningeal (transdural) anastomosis from the left external carotid artery to the left anterior cerebral artery (ACA) and middle cerebral artery (MCA) area (arrowheads), and formation of basal moyamoya vessels (arrows), and the lateral view of the right carotid angiogram (a) indicating no abnormality. Lateral view of left vertebral angiography (d) showing leptomeningeal anastomosis (arrow heads) and anastomosis to the ACA and MCA area via the left posterior cerebral artery (arrows).
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