Document Detail


Moyamoya disease-related versus primary intracerebral hemorrhage: [corrected] location and outcomes are different.
MedLine Citation:
PMID:  22693130     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: The purpose of our study was to compare lesion location between moyamoya disease-related intracerebral hemorrhage (MMD-ICH) and primary intracerebral hemorrhage (P-ICH).
METHODS: Ninety-three patients each with MMD-ICH and P-ICH were compared. In patients with MMD-ICH, angiographic findings were assessed with special attention to the prominent anterior choroidal artery. Follow-up data were obtained through clinical visit and telephone interview.
RESULTS: The location of hemorrhage was different between MMD-ICH and P-ICH, the most frequent one being intraventricular region (37.6%) in the former and putaminal region (46.2%) in the latter (P<0.001). Intraventricular hemorrhage was more frequent in MMD-ICH than P-ICH (80.6% versus 20.4%, P<0.001). In MMD-ICH, primary intraventricular hemorrhage was more closely associated with prominent ipsilateral anterior choroidal artery than ICHs without intraventricular hemorrhage (75.0% versus 16.7%, P<0.001). Higher rates of rebleeding and infarction were observed in MMD-ICH than in age- and sex-matched patients with P-ICH.
CONCLUSIONS: MMD-ICH may differ from P-ICH in hemorrhage location, generally presenting with intraventricular hemorrhage with or without ICH, which may be due to a prominent anterior choroidal artery. Patients with MMD may be more likely to experience recurrent bleeding and infarction.
Authors:
Hyun-Wook Nah; Sun U Kwon; Dong-Wha Kang; Jae-Sung Ahn; Byung-Duk Kwun; Jong S Kim
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-06-12
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  43     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-06-26     Completed Date:  2012-09-04     Revised Date:  2013-10-28    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1947-50     Citation Subset:  IM    
Affiliation:
Department of Neurology, University of Ulsan, Asan Medical Center, 388-1 Pungnap-dong, Songpa-gu, Seoul 138-736, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebral Hemorrhage / epidemiology,  radiography*
Cerebral Ventricles / pathology*
Cerebral Ventriculography / methods
Female
Follow-Up Studies
Humans
Male
Middle Aged
Moyamoya Disease / epidemiology,  radiography*
Putamen / radiography*
Treatment Outcome
Comments/Corrections
Erratum In:
Stroke. 2013 Sep;44(9):e119

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


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