A recurrent @entity976 associated with moyamoya vessels was successfully treated by partial @entity5 via the transsphenoidal approach followed by gamma-knife radiosurgery. This 19-year-old @entity1 was first treated by partial @entity5 removal and radiotherapy (54Gy) at the age of 6 years. @entity2124 and @entity1 chorionic gonadotropin were given from the ages of 13 to 18 years. At ag 17 years, follow-up magnetic resonance imaging (MRI) revealed regrowth of the @entity5 . At the age of 19 years, he was readmitted for treatment of the enlarging remnant @entity5 . Neurological examination revealed @entity1939 . MRI showed marked suprasellar, sphenoidal and bilateral cavernous sinus extension of the @entity5 . Angiography revealed @entity850 of the right internal carotid artery and the M1 and A1 segments of the right cerebral arteries, as well as occlusion of the C3 segment of the left internal carotid artery. There were vault and ethmoidal moyamoya vessels. The @entity1 underwent @entity5 removal via the transsphenoidal approach, instead of craniotomy, to avoid @entity130 . The intrasellar solid @entity5 was partially removed. The @entity5 was then irradiated by the gamma knife. MRI 15 months after the treatment showed marked @entity5 . The pathogenesis of the moyamoya phenomenon and the choice of the treatment in this @entity1 are discussed.

[Transsphenoidal surgery and gamma-knife radiosurgery for a treatment of recurrent XXXX with moyamoya vessels].

@entity1 :: ('9606', 'Species') :: ['human', 'patient', 'man'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'reduction of the tumor', 'removal of the tumor'] @entity2124 :: ('2688', 'Gene') :: ['Growth hormone'] @entity1939 :: ('MESH:D001766', 'Disease') :: ['bilateral blindness'] @entity976 :: ('MESH:D003397', 'Disease') :: ['craniopharyngioma'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis'] @entity130 :: ('MESH:D014947', 'Disease') :: ['injury to the transdural anastomosis']
@entity976 :: (MESH:D003397,Disease) :: ['craniopharyngioma']
