Document Detail


Acute cerebral ischemia following intraventricular hemorrhage in moyamoya disease: early perfusion computed tomography findings.
MedLine Citation:
PMID:  19035718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors present a rare case of an infarction complication 15 days following acute intraventricular bleeding due to moyamoya disease. Before the infarction occurred, perfusion CT imaging disclosed early but reversible ischemic injury on the day of hemorrhage. Dehydration and hypotension are both possibly contributing factors of progressive injury from reversible ischemia due to infarction. Although the patient underwent successful bypass surgery, 1 month after the ictus the neurobehavior evaluation still showed marked executive dysfunction. The authors address that, in hemorrhagic-type moyamoya disease, early perfusion CT scanning is not only a powerful tool to identify the high-risk group of patients who could experience subacute infarction, but also alarms neurosurgeons to eliminate any predisposing factors when it shows reversible ischemic injuries.
Authors:
I-Chang Su; Chi-Cheng Yang; Wei-Han Wang; Jing-Er Lee; Yong-Kwang Tu; Kuo-Chuan Wang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  109     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1049-51     Citation Subset:  AIM; IM    
Affiliation:
Division of Neurosurgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Brain Ischemia / epidemiology,  etiology*,  radiography*
Cerebral Hemorrhage / complications*,  etiology*
Dehydration / complications
Female
Humans
Intracranial Hypotension / complications
Moyamoya Disease / complications*
Predictive Value of Tests
Risk Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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