Adult onset moyamoya disease: Institutional experience

作者:Chinchure Swati Dayanand; Pendharkar Hima Shriniwas*; Gupta Arun Kumar; Bodhey Narendra; Harsha K J
来源:Neurology India, 2011, 59(5): 85-90.
DOI:10.4103/0028-3886.86550

摘要

Moyamoya disease is a progressive steno-occlusive disease of bilateral carotid forks with the formation of fine collateral vascular network and is an angiographic diagnosis. We analyzed case records of 11 patients with "adult-onset moyamoya disease." Six patients presented with intracranial hemorrhage (intracerebral and/or intraventricular) and 5 with focal ischemia. Angiography revealed bilateral Internal carotid artery involvement in 8 patients and unilateral involvement in 3. Posterior cerebral artery involvement was seen in 3 patients. Saccular aneurysm involving posterior circulation was seen in only 1 patient. Although rare, adult-onset moyamoya disease should be considered as one of the causes for intracerebral and intraventricular hemorrhage in adults.

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