Clinical features of the haemorrhage type moyamoya disease based on 31 cases

Acta neurochirurgica
S KawaguchiH Iwanaga

Abstract

We evaluated and analysed our own 31 cases of the haemorrhagic type of moyamoya disease to clarify the clinical features of this disease. The cases were divided into three groups. Group A consisted of 12 cases with aneurysms. Aneurysms on the circle of Willis were treated as ordinary saccular aneurysms. Group B consisted of 14 cases with intracerebral haemorrhage (ICH) without aneurysms. These were managed almost as spontaneous ICH. Group C consisted of 5 cases with intraventricular haemorrhage (IVH) without aneurysms or ICH. Twenty-two surgical procedures for aneurysms, ICH and IVH were done in 19 cases (62%). Nineteen procedures for preventing future strokes were undertaken in 11 cases (35%). The overall initial outcome was excellent in 12 cases (39%), good in 7 cases (23%), poor in 7 cases (23%), and death in 5 cases (15%). During the follow-up period (mean: 6.5 years), rebleeding occurred in two cases (8%), and ischaemic attacks in two cases (8%). The rate of rebleeding or ischaemic attacks was 1.19% per patient-year during the follow-up period. There was no ischaemic or rebleeding episode in cases treated by STA-MCA bypass with encephalomyosynagiosis (EMS) during the follow-up period. Management of the primary haemorrhage ...Continue Reading

References

Mar 1, 1979·Neurologia Medico-chirurgica·A Nishimoto
Nov 1, 1978·Journal of Neurosurgery·J KarasawaT Sakaki
May 1, 1989·Journal of Neurosurgery·J C GrabelR Ragland
Jan 1, 1983·Journal of Neurosurgery·M YamashitaH Sakamoto
Jul 1, 1983·Surgical Neurology·M YabumotoN Komai
May 1, 1993·Neurologia Medico-chirurgica·H WanifuchiM Kagawa
Aug 1, 1994·Mayo Clinic Proceedings·K UekiJ F Mellinger

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Citations

Mar 6, 2008·Neurocritical Care·Alexander C FlintVineeta Singh
Feb 1, 2011·Acta neurochirurgica·Je Young YeonSeung-Chyul Hong
Apr 10, 2004·Acta Oto-laryngologica·Albrecht HochmuthJoachim Klisch
Jan 17, 2009·Revue neurologique·L CalviereV Larrue
Jul 11, 1998·Stroke; a Journal of Cerebral Circulation·D ChiuJ C Grotta
Oct 22, 2009·Journal of Korean Neurosurgical Society·Moon Young ChungJoong-Uhn Choi
Oct 28, 2010·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·J-L YuQ Luo
Feb 17, 2000·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·J C SunC R Honey
Dec 22, 2010·Deutsches Ärzteblatt International·Hans-Jakob SteigerBernd Turowski

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