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Periventricular Anastomosis

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Moyamoya Disease: Current Knowledge and Future Perspectives

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Abstract

Periventricular anastomosis is a term used to describe fragile, hemorrhage-prone collateral vessels typical of moyamoya disease. It is defined as pathological anastomoses between the perforating or choroidal arteries and the medullary arteries in the periventricular area. This chapter discusses the anatomic characteristics, the relationship to hemorrhage, and representative radiological findings.

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References

  1. Van den Bergh R. Centrifugal elements in the vascular pattern of the deep intracerebral blood supply. Angiology. 1969;20(2):88–94.

    Article  Google Scholar 

  2. Yasargil MG. Microneurosurgery. New York: Thieme Medical; 1987. p. 322.

    Google Scholar 

  3. De Reuck J. The human periventricular arterial blood supply and the anatomy of cerebral infarctions. Eur Neurol. 1971;5(6):321–34.

    Article  Google Scholar 

  4. Nelson MD Jr, Gonzalez-Gomez I, Gilles FH. Dyke award. The search for human telencephalic ventriculofugal arteries. AJNR Am J Neuroradiol. 1991;12(2):215–22.

    PubMed  Google Scholar 

  5. Marinkovic S, Gibo H, Filipovic B, Dulejic V, Piscevic I. Microanatomy of the subependymal arteries of the lateral ventricle. Surg Neurol. 2005;63(5):451–8.; discussion 8. https://doi.org/10.1016/j.surneu.2004.06.013.

    Article  PubMed  Google Scholar 

  6. Saito R, Kumabe T, Sonoda Y, Kanamori M, Mugikura S, Takahashi S, et al. Infarction of the lateral posterior choroidal artery territory after manipulation of the choroid plexus at the atrium: causal association with subependymal artery injury. J Neurosurg. 2013;119(1):158–63. https://doi.org/10.3171/2013.2.JNS121221.

    Article  PubMed  Google Scholar 

  7. Kodama N, Suzuki J. Cerebrovascular Moyamoya disease IIIrd report-the study on the aging of the perforating branches and the possibility of collateral pathway. Neurologia medico-chirurgica Part I. 1974;14(1):55–67. https://doi.org/10.2176/nmc.14pt1.SUPPLEMENT_55.

    Article  Google Scholar 

  8. Takahashi M. Magnification angiography in moyamoya disease: new observations on collateral vessels. Radiology. 1980;136(2):379–86. https://doi.org/10.1148/radiology.136.2.7403514.

    Article  CAS  PubMed  Google Scholar 

  9. Baltsavias G, Valavanis A, Filipce V, Khan N. Selective and superselective angiography of pediatric moyamoya disease angioarchitecture: the anterior circulation. Interv Neuroradiol. 2014;20(4):391–402. https://doi.org/10.15274/NRJ-2014-10050.

    Article  PubMed  Google Scholar 

  10. Baltsavias G, Khan N, Filipce V, Valavanis A. Selective and superselective angiography of pediatric moyamoya disease angioarchitecture in the posterior circulation. Interv Neuroradiol. 2014;20(4):403–12. https://doi.org/10.15274/NRJ-2014-10041.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Funaki T, Takahashi JC, Yoshida K, Takagi Y, Fushimi Y, Kikuchi T, et al. Periventricular anastomosis in moyamoya disease: detecting fragile collateral vessels with MR angiography. J Neurosurg. 2016;124(6):1766–72. https://doi.org/10.3171/2015.6.jns15845.

    Article  PubMed  Google Scholar 

  12. Funaki T, Fushimi Y, Takahashi JC, Takagi Y, Araki Y, Yoshida K, et al. Visualization of periventricular collaterals in Moyamoya disease with flow-sensitive black-blood magnetic resonance angiography: preliminary experience. Neurol Med Chir (Tokyo). 2015;55(3):204–9. https://doi.org/10.2176/nmc.oa.2014-0360.

    Article  Google Scholar 

  13. Matsushige T, Kraemer M, Sato T, Berlit P, Forsting M, Ladd ME, et al. Visualization and classification of deeply seated collateral networks in Moyamoya Angiopathy with 7T MRI. AJNR Am J Neuroradiol. 2018;39(7):1248–54. https://doi.org/10.3174/ajnr.A5700.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Funaki T, Takahashi JC, Houkin K, Kuroda S, Takeuchi S, Fujimura M, et al. Angiographic features of hemorrhagic moyamoya disease with high recurrence risk: a supplementary analysis of the Japan adult Moyamoya trial. J Neurosurg. 2018;128(3):777–84. https://doi.org/10.3171/2016.11.jns161650.

    Article  PubMed  Google Scholar 

  15. Miyakoshi A, Funaki T, Fushimi Y, Kikuchi T, Kataoka H, Yoshida K, et al. Identification of the bleeding point in hemorrhagic Moyamoya disease using fusion images of susceptibility-weighted imaging and time-of-flight MRA. AJNR Am J Neuroradiol. 2019;40(10):1674–80. https://doi.org/10.3174/ajnr.A6207.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Miyakoshi A, Funaki T, Fushimi Y, Nakae T, Okawa M, Kikuchi T, et al. Cortical distribution of fragile periventricular anastomotic collateral vessels in Moyamoya disease: an exploratory cross-sectional study on Japanese moyamoya patients. AJNR. Am J Neuroradiol Epub ahead of print Nov. 2020:5. https://doi.org/10.3174/ajnr.A6861.

  17. Kodama N, Suzuki J. Moyamoya disease associated with aneurysm. J Neurosurg. 1978;48(4):565–9. https://doi.org/10.3171/jns.1978.48.4.0565.

    Article  CAS  PubMed  Google Scholar 

  18. Irikura K, Miyasaka Y, Kurata A, Tanaka R, Fujii K, Yada K, et al. A source of haemorrhage in adult patients with moyamoya disease: the significance of tributaries from the choroidal artery. Acta Neurochir. 1996;138(11):1282–6.

    Article  CAS  Google Scholar 

  19. Morioka M, Hamada J, Kawano T, Todaka T, Yano S, Kai Y, et al. Angiographic dilatation and branch extension of the anterior choroidal and posterior communicating arteries are predictors of hemorrhage in adult moyamoya patients. Stroke. 2003;34(1):90–5.

    Article  Google Scholar 

  20. Funaki T, Takahashi JC, Houkin K, Kuroda S, Takeuchi S, Fujimura M, et al. High rebleeding risk associated with choroidal collateral vessels in hemorrhagic moyamoya disease: analysis of a nonsurgical cohort in the Japan adult Moyamoya trial. J Neurosurg. 2019;130(2):525–30. https://doi.org/10.3171/2017.9.jns17576.

    Article  Google Scholar 

  21. Funaki T, Takahashi JC, Houkin K, Kuroda S, Fujimura M, Tomata Y, et al. Effect of choroidal collateral vessels on de novo hemorrhage in moyamoya disease: analysis of nonhemorrhagic hemispheres in the Japan adult Moyamoya trial. J Neurosurg. 2019:1–7. https://doi.org/10.3171/2018.10.Jns181139.

  22. Wang J, Yang Y, Li X, Zhou F, Wu Z, Liang Q, et al. Lateral posterior Choroidal collateral anastomosis predicts recurrent Ipsilateral hemorrhage in adult patients with Moyamoya disease. AJNR Am J Neuroradiol. 2019;40(10):1665–71. https://doi.org/10.3174/ajnr.A6208.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Kazumata K, Shinbo D, Ito M, Shichinohe H, Kuroda S, Nakayama N, et al. Spatial relationship between cerebral microbleeds, Moyamoya vessels, and hematoma in Moyamoya disease. Journal of stroke and cerebrovascular diseases: the official journal of National Stroke Association. 2014;23(6):1421–8. https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.12.007.

    Article  Google Scholar 

  24. Takahashi JC, Funaki T, Houkin K, Inoue T, Ogasawara K, Nakagawara J, et al. Significance of the hemorrhagic site for recurrent bleeding: Prespecified analysis in the Japan adult Moyamoya trial. Stroke. 2016;47(1):37–43. https://doi.org/10.1161/strokeaha.115.010819.

    Article  PubMed  Google Scholar 

  25. Fujimura M, Funaki T, Houkin K, Takahashi JC, Kuroda S, Tomata Y, et al. Intrinsic development of choroidal and thalamic collaterals in hemorrhagic-onset moyamoya disease: case-control study of the Japan adult Moyamoya trial. J Neurosurg. 2018:1–7. https://doi.org/10.3171/2017.11.Jns171990.

  26. Liu P, Han C, Li DS, Lv XL, Li YX, Duan L. Hemorrhagic Moyamoya disease in children: clinical, angiographic features, and long-term surgical outcome. Stroke. 2016;47(1):240–3. https://doi.org/10.1161/strokeaha.115.010512.

    Article  PubMed  Google Scholar 

  27. Ryu J, Hamano E, Nishimura M, Satow T, Takahashi JC. Difference in periventricular anastomosis in child and adult moyamoya disease: a vascular morphology study. Acta Neurochir. 2020;162(6):1333–9. https://doi.org/10.1007/s00701-020-04354-1.

    Article  PubMed  Google Scholar 

  28. Sasagasako T, Funaki T, Tanji M, Arakawa Y, Suzuki H, Miyakoshi A, et al. Intractable medial anastomotic branches from the Lenticulostriate artery causing recurrent hemorrhages in Moyamoya disease: a case report. World Neurosurg. 2019; https://doi.org/10.1016/j.wneu.2019.04.066.

  29. Miyamoto S, Kikuchi H, Karasawa J, Nagata I, Ikota T, Takeuchi S. Study of the posterior circulation in moyamoya disease. Clinical and neuroradiological evaluation. J Neurosurg. 1984;61(6):1032–7. https://doi.org/10.3171/jns.1984.61.6.1032.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Japan

    Takeshi Funaki & Susumu Miyamoto

Authors
  1. Takeshi Funaki
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  2. Susumu Miyamoto
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Correspondence to Takeshi Funaki .

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Editors and Affiliations

  1. Department of Neurosurgery, Graduate School of Medicine and Pharmaceutical Science, University of Toyama, Toyama, Japan

    Satoshi Kuroda

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Funaki, T., Miyamoto, S. (2021). Periventricular Anastomosis. In: Kuroda, S. (eds) Moyamoya Disease: Current Knowledge and Future Perspectives. Springer, Singapore. https://doi.org/10.1007/978-981-33-6404-2_13

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  • DOI: https://doi.org/10.1007/978-981-33-6404-2_13

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-33-6403-5

  • Online ISBN: 978-981-33-6404-2

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