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Recurrent Intracranial Hemorrhage in an Adult with Moyamoya Disease: Case Report, Radiographic Studies and Pathology

Published online by Cambridge University Press:  18 September 2015

Mark Kaufman ,
Brian W. Little  and
Bernard W. Berkowitz
Mark Kaufman*
Affiliation:
Department of Neurology, Nassau County Medical Center, New York Department of Neurology, State University of New York at Stony Brook, New York
Brian W. Little
Affiliation:
Division of Neuropathology, State University of New York at Stony Brook, New York
Bernard W. Berkowitz
Affiliation:
Department of Neurology, Nassau County Medical Center, New York Department of Neurology, State University of New York at Stony Brook, New York
*
Department of Neurology, Nassau County Medical Center, 2201 Hempstead Turnpike, East Meadow, New York, U.S.A. 11554
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Abstract:

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Moyamoya disease is an unusual vascular disorder highlighted by progressive bilateral internal carotid artery occlusion and collateralization of intracranial blood flow. Recurrent multifocal cerebral ischemic events and isolated intracerebral hemorrhage are known to occur in this disorder. We report a 52 year old man who over a nine year period had four apparent intracranial hemorrhages. Serial angiograms demonstrated the evolution of moyamoya disease. Pathologic examination confirmed multiple vascular lesions, including two that were clinically silent.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 15 , Issue 4 , November 1988 , pp. 430 - 434
Copyright
Copyright © Canadian Neurological Sciences Federation 1988

References

REFERENCES

1.Suzuki, J, Takaku, A. Cerebrovascular ‘moyamoya’ disease. Arch Neurol 1969; 20: 288–299.CrossRefGoogle ScholarPubMed
2.Leeds, NL, Abbott, KH. Collateral circulation in cerebrovascular disease in childhood via rete mirabile and perforating branches of anterior choroidal and posterior cerebral arteries. Radiology 1965; 85: 628–634.CrossRefGoogle ScholarPubMed
3.Kudo, T. Spontaneous occlusion of the circle of Willis. Neurology 1968; 18: 485–496.CrossRefGoogle ScholarPubMed
4.Nishimoto, A, Takeuchi, S. Abnormal cerebrovascular network related to the internal carotid arteries. J Neurosurg 1968; 29: 255–260.CrossRefGoogle Scholar
5.Hoare, AM, Keogh, AJ. Cerebrovascular moyamoya disease. Br Med J 1974; 1:430–432.CrossRefGoogle ScholarPubMed
6.Nishimoto, A, Takeuchi, S. Moyamoya disease. In: Vinken, PJ, Bruyn, GW, ed. Handbook of clinical neurology. New York: American Elsevier Publishing Company, 1972; 352–383.Google Scholar
7.Yamashita, M, Kazonuri, O, Tonaka, K. Histopathology of the brain vascular network in moyamoya disease. Stroke 1983; 14: 50–58.CrossRefGoogle ScholarPubMed
8.Suzuki, J, Kodama, N. Moyamoya disease – a review. Stroke 1983; 14: 104–109.CrossRefGoogle ScholarPubMed
9.Hosoda, Y. Pathology of so-called ‘spontaneous occlusion of the circle of Willis’. Pathol Annu 1984; 19 Pt 2: 221–244.Google Scholar
10.Poor, GY, Gacs, GY. The so-called ‘Moyamoya disease’. J. Neurol, Neurosurg Psych 1974; 37: 370–377.CrossRefGoogle ScholarPubMed
11.Mathew, NT, Abraham, J, Chandy, J. Cerebral angiographic features in tuberculous meningitis. Neurology 1970; 20: 1015–1023.CrossRefGoogle ScholarPubMed
12.Stockman, JA, Nigro, MA, Mishkin, MM, et al. Occlusion of large cerebral vessels in sickle cell anemia. N Engl J Med 1972; 287: 846–849.CrossRefGoogle ScholarPubMed
13.Beyer, RA, et al. Moyamoya pattern of vascular occlusion after radiotherapy for glioma of the optic chiasm. Neurology 1986; 36: 1173–1178.CrossRefGoogle ScholarPubMed
14.Tomsick, TA, Lukin, RR, Chambers, AA, et al. Neurofibromatosis and intracranial arterial occlusive disease. Neuroradiology 1976; 11: 229–234.CrossRefGoogle ScholarPubMed
15.Lloyd, AR, et al. Moyamoya disease causing recurrent cerebrovas-cular episodes in a young adult. Med J Aust 1987; 146: 379–381.CrossRefGoogle Scholar
16.Tagawa, T, et al. Regional cerebral blood flow, clinical manifestations, and age in children with moyamoya disease. Stroke 1987; 18:906–910.CrossRefGoogle ScholarPubMed
17.Takebayashi, S, Matsuo, K, Kaneko, M. Ultra structural studies of cerebral arteries and collateral vessels in moyamoya disease. Stroke 1984; 15: 728–732.CrossRefGoogle Scholar
18.Okazaki, H, Reagan, T, Campbell, R. Clinicopathologic studies of primary cerebral amyloid angiopathy. Mayo Clin Proc 1979; 54: 22–31.Google ScholarPubMed
19.Finelli, PF, Kessimian, N, Bernstein, PW. Cerebral amyloid angiopathy manifesting as recurrent intracerebral hemorrhage. Arch Neurol 1984;41:330–333.CrossRefGoogle ScholarPubMed