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. 2015 Sep 15;55(10):796–804. doi: 10.2176/nmc.oa.2015-0044

Fig. 5.

Fig. 5.

Radiological and intraoperative findings of a 29-year-old female with moyamoya disease. A: Left carotid angiography reveals a stenosis in the left carotid fork and dilated moyamoya vessels. The horizontal portion of the left middle cerebral artery is severely stenotic. Note the saccular aneurysm (An) arising from the internal carotid artery-anterior choroidal artery junction (arrow). B, C: Direct inspection during surgery reveals that the left supraclinoid portion of internal carotid artery (C1) is severely constricted and white-colored, compared with the posterior communicating artery (Pcom) and anterior choroidal artery (ACho). The horizontal portions of middle (M1) and anterior cerebral arteries (A1) look very similar. Note that the distal segment of M1 has the normal red-colored appearance (C, arrow).