Document Detail


Subarachnoid hemorrhage not due to ruptured aneurysm in moyamoya disease.
MedLine Citation:
PMID:  16410219     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient with moyamoya disease presenting with subarachnoid hemorrhage (SAH) is reported. A 38-year-old Japanese woman developed a sudden onset headache and nausea during hospitalization for a cerebral infarct in the right frontal lobe. CT scan showed SAH in the left frontal sulci. Cerebral angiogram showed stenosis of the distal bilateral internal carotid arteries with moyamoya vessels, and significant transdural anastamoses from the left external carotid artery to cortical arteries on the left frontal cortex. The patient was kept normotensive and underwent a right-sided surgical revascularization procedure, remaining well for three years. SAH not due to ruptured aneurysm in moyamoya disease is rare. The cause of the SAH was thought to be disruption of the transdural anastomotic vessels. Recognition of these fragile vessels in moyamoya disease is essential.
Authors:
Aiki Marushima; Kiyoyuki Yanaka; Takayuki Matsuki; Hideaki Kojima; Tadao Nose
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  13     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-13     Completed Date:  2006-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  146-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1, Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Ruptured / etiology*,  pathology
Cerebral Angiography / methods
Female
Humans
Moyamoya Disease / complications*,  pathology
Subarachnoid Hemorrhage / diagnosis*

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