Concomitant cerebral infarction and intraventricular hemorrhage in moyamoya disease

被引:13
作者
Nagasaka, Toru [1 ]
Hayashi, Shigemasa [1 ]
Naito, Takehiro [1 ]
Okamoto, Takeshi [1 ]
Ikeda, Hiroshi [1 ]
Inao, Suguru [1 ]
机构
[1] Japanese Red Cross Nagoya First Hosp, Dept Neurosurg, Nakamura Ku, Nagoya, Aichi 4538511, Japan
关键词
moyamoya disease; cerebral infarction; intracranial pressure; intraventricular hemorrhage; computed tomography; pediatric neurosurgery;
D O I
10.3171/ped.2007.106.5.388
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Moyamoya disease is categorized as either ischemic or hemorrhagic type, and the pathogenesis of this disease is unknown. In this paper, the authors report on a patient with moyamoya disease who suffered concomitant cerebral infarction and intraventricular hemorrhage (IVH). Endoscopic removal of the intraventricular hematoma and ventricular drainage were both performed. The patient did not experience further ischemic complications. Patients with moyamoya disease have intracranial hemodynamic insufficiency. Adequate control of intracranial pressure and removal of the intraventricular hematoma is important to prevent progression of cerebral infarction and hydrocephalus. To the authors' knowledge, this is the first report of concomitant cerebral infarction and IVH, or true mixed-type moyamoya disease. A possible pathogenesis of this rare condition is discussed.
引用
收藏
页码:388 / 390
页数:3
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