Document Detail

Cerebral ischemic complications following intracranial bleeding in patients with moyamoya disease--three case reports.
MedLine Citation:
PMID:  11593973     Owner:  NLM     Status:  MEDLINE    
Three patients with bleeding-type moyamoya disease suffered ischemic complications following their first episode of intracranial bleeding. The patients presented with intraventricular hemorrhage and suffered cerebral infarction on the 14th, 16th, and 11th days after the ictus, respectively. The clinical records revealed no obvious hypotension before progression to infarction and suggested that dehydration accelerated by the administration of hyperosmotic drugs was a contributing factor to the infarction. Two patients underwent superficial temporal artery-middle cerebral artery anastomoses in the chronic stages and have never experienced further ischemic complications. The other patient died despite receiving intensive care. Hemodynamic reserve may be severely impaired in patients with bleeding-type moyamoya disease. Adequate control of hydration is important to prevent cerebral infarction after intracranial bleeding in patients with moyamoya disease.
T Iwama; Y Kotani; H Yamakawa; I Nagata; N Hashimoto; N Sakai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  41     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-10-11     Completed Date:  2001-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  450-3     Citation Subset:  IM    
Department of Neurosurgery, Gifu University School of Medicine, Gifu.
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MeSH Terms
Brain Ischemia / diagnosis,  etiology*,  surgery
Cerebral Hemorrhage / complications*,  diagnosis,  surgery
Cerebral Infarction / diagnosis,  etiology,  surgery
Cerebral Revascularization
Cerebral Ventricles / pathology
Diagnosis, Differential
Diagnostic Imaging
Fatal Outcome
Middle Aged
Moyamoya Disease / complications*,  diagnosis,  surgery

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