Nawawi O, Sinnasamy M, Ramli N
Department of Radiology, University Malaya Medical Centre, Kuala Lumpur 59100, Malaysia.
Br J Radiol. 2006 Jul;79(943):e12-5. doi: 10.1259/bjr/40183814.
A case of an intracerebral bleed in a young man with a rare combination of arteriovenous malformation (AVM) and unilateral moyamoya disease is presented. The location of the bleed in the left basal ganglia corresponded to the area supplied by the basal moyamoya vessels. The AVM which received supply from collateral moyamoya vessels as well as normal cerebral arteries was located in the ipsilateral parieto-occipital region posterior to the basal ganglia bleed. This is the first reported cerebral AVM co-existing with a unilateral moyamoya disease in the English literature. Unusual features of the case such as the unilaterality of the angiographic abnormalities, their coexistence and hypotheses as to their development are discussed.
本文介绍了一例年轻男性脑内出血病例，该患者患有动静脉畸形（AVM）和单侧烟雾病这一罕见组合。左侧基底节区的出血部位与基底烟雾病血管供应的区域相对应。接受来自烟雾病侧支血管以及正常脑动脉供血的动静脉畸形位于基底节区出血同侧的顶枕区后方。这是英文文献中首次报道的脑动静脉畸形与单侧烟雾病并存的病例。文中讨论了该病例的异常特征，如血管造影异常的单侧性、它们的并存情况以及关于其发生发展的假说。
