Journal of Korean Neurosurgical Society

  • 제46권3호
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  • Pages.257-260
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  • 2009
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Intraventricular Hemorrhage Long after Successful Encephaloduroarterio Synangiosis in Moyamoya Patient

  • Chung, Moon-Young (Department of Neurosurgery, Institute for Clinical Research, College of Medicine, CHA Medical University) ;
  • Park, Young-Seok (Department of Neurosurgery, Severance Children's Hospital, Brain Korea 21 Project for Medical Science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Kim, Dong-Seok (Department of Neurosurgery, Severance Children's Hospital, Brain Korea 21 Project for Medical Science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Choi, Joong-Uhn (Department of Neurosurgery, Institute for Clinical Research, College of Medicine, CHA Medical University)
  • 발행 : 2009.09.28
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초록

Intraventricular hemorrhage long after successful encephaloduroarterio synangiosis (EDAS) is very rare. The effect of revascularization surgery for preventing hemorrhagic event of moyamoya disease remains controversial. We report a 17-year-old female with intracerebral hemorrhage and intraventricular hemorrahge 10 years after successful EDAS. Even though cerebral vessels angiography showed good collateral circulations without specific weak points, a cerebral hemorrhage could occur in patient with ischemic type of moyamoya disease long after successful indirect bypass operations. Good collateralization of cerebral angiography or magnetic resonance perfusion image after indirect bypass surgery would ensure against ischemic symptoms, not a hemorrhage. And, thus a life-time follow-up strategy might be necessary even if a good collateral circulation has been established.

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참고문헌

  1. Choi JU, Kim DS, Kim EY, Lee KC : Natural history of moyamoya disease: comparison of activity of daily living in surgery and non surgery groups. Clin Neurol Neurosurg 99 Suppl 2 : S11-S18, 1997
  2. Fung LW, Thompson D, Ganesan V : Revascularisation surgery for paediatric moyamoya : a review of the literature. Childs Nerv Syst 21 : 358-364, 2005 https://doi.org/10.1007/s00381-004-1118-9
  3. Isono M, Ishii K, Kamida T, Inoue R, Fujiki M, Kobayashi H : Long-term outcomes of pediatric moyamoya disease treated by encephalo-duro-arterio-synangiosis. Pediatr Neurosurg 36 : 14-21, 2002 https://doi.org/10.1159/000048343
  4. Kawaguchi S, Sakaki T, Kakizaki T, Kamada K, Shimomura T, Iwanaga H : Clinical features of the haemorrhage type moyamoya disease based on 31 cases. Acta Neurochir (Wien) 138 : 1200-1210, 1996 https://doi.org/10.1007/BF01809751
  5. Kikuta K, Takagi Y, Nozaki K, Hanakawa T, Okada T, Mikuni N, et al. : Asymptomatic microbleeds in moyamoya disease : T2*-weighted gradient-echo magnetic resonance imaging study. J Neurosurg 102 : 470-475, 2005 https://doi.org/10.3171/jns.2005.102.3.0470
  6. Kikuta K, Takagi Y, Nozaki K, Sawamoto N, Fukuyama H, Hashimoto N : The presence of multiple microbleeds as a predictor of subsequent cerebral hemorrhage in patients with moyamoya disease. Neurosurgery 62 : 104-111; discussion 111-112, 2008 https://doi.org/10.1227/01.NEU.0000311067.41239.E6
  7. Kobayashi E, Saeki N, Oishi H, Hirai S, Yamaura A : Long-term natural history of hemorrhagic moyamoya disease in 42 patients. J Neurosurg 93 : 976-980, 2000 https://doi.org/10.3171/jns.2000.93.6.0976
  8. Kuroda S, Houkin K : Moyamoya disease : current concepts and future perspectives. Lancet Neurol 7 : 1056-1066, 2008 https://doi.org/10.1016/S1474-4422(08)70240-0
  9. Miyamoto S; Japan Adult Moyamoya Trial Group : Study design for a prospective randomized trial of extracranial-intracranial bypass surgery for adults with moyamoya disease and hemorrhagic onset-the Japan Adult Moyamoya Trial Group. Neurol Med Chir (Tokyo) 44 : 218-219, 2004 https://doi.org/10.2176/nmc.44.218
  10. Morioka M, Hamada J, Todaka T, Yano S, Kai Y, Ushio Y : Highrisk age for rebleeding in patients with hemorrhagic moyamoya disease : long-term follow up study. Neurosurgery 52 : 1049-1054; discussion 1054-1055, 2003 https://doi.org/10.1227/01.NEU.0000058223.73857.F4
  11. Nagasaka T, Hayashi S, Naito T, Okamoto T, Ikeda H, Inao S : Concomitant cerebral infarction and intraventricular hemorrhage in moyamoya disease. Case report. J Neurosurg 106 (5 Suppl) : 388-390, 2007 https://doi.org/10.3171/jns.2007.106.3.388
  12. Nagata S, Matsushima T, Morioka T, Matsukado K, Mihara F, Sasaki T, et al. : Unilaterally symptomatic moyamoya disease in children : long-term follow-up of 20 patients. Neurosurgery 59 : 830-836; discussion 836-837, 2006 https://doi.org/10.1227/01.NEU.0000227527.69766.43
  13. Okada Y, Shima T, Nishida M, Yamane K, Yamada T, Yamanaka C : Effectiveness of superficial temporal artery-middle cerebral artery anastomosis in adult moyamoya disease : cerebral hemodynamics and clinical course in ischemic and hemorrhagic varieties. Stroke 29 : 625-630, 1998 https://doi.org/10.1161/01.STR.29.3.625
  14. Otawara Y, Ogasawara K, Seki K, Kibe M, Kubo Y, Ogawa A : Intracerebral hemorrhage after prophylactic revascularization in a patient with adult moyamoya disease. Surg Neurol 68 : 335-337; discussion 337, 2007 https://doi.org/10.1016/j.surneu.2006.10.061
  15. Yoshida Y, Yoshimoto T, Shirane R, Sakurai Y : Clinical course, surgical management, and long-term outcome of moyamoya patients with rebleeding after an episode of intracerebral hemorrhage : an extensive follow-up study. Stroke 30 : 2272-2276, 1999 https://doi.org/10.1161/01.STR.30.11.2272
  16. Zipfel GJ, Fox DJ Jr, Rivet DJ : Moyamoya disease in adults: the role of cerebral revascularization. Skull Base 15 : 27-41, 2005 https://doi.org/10.1055/s-2005-868161