Wu Hui, Song Shaoli, Zhang Xiaohua, Jin Yichao
From the *Department of Neurosurgery, and †Department of Nuclear Medicine, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
J Craniofac Surg. 2014 Jul;25(4):e358-9. doi: 10.1097/SCS.0000000000000803.
Moyamoya disease patients with subarachnoid hemorrhage and cerebral infarction are rare, especially when the subarachnoid hemorrhage is nonaneurysmal. Here, we present one 48-year-old male patient with moyamoya disease identified with digital subtraction angiography. His initial symptoms are associated with increased intracranial pressure. Subsequent computed tomography demonstrated subarachnoid hemorrhage and cerebral infarction. Digital subtraction angiography showed no obvious aneurysms. We assume that subarachnoid hemorrhage is associated with the rupture of the moyamoya vessels and transdural anastomotic vessels. The cerebral infarction can be also explained by hemodynamic mechanisms. We should pay more attention to the recurrent hemorrhagic stroke.
患有蛛网膜下腔出血和脑梗死的烟雾病患者很少见，尤其是当蛛网膜下腔出血为非动脉瘤性时。在此，我们报告一名48岁男性烟雾病患者，通过数字减影血管造影确诊。他的初始症状与颅内压升高有关。随后的计算机断层扫描显示有蛛网膜下腔出血和脑梗死。数字减影血管造影未显示明显动脉瘤。我们推测蛛网膜下腔出血与烟雾病血管和经硬脑膜吻合血管的破裂有关。脑梗死也可用血流动力学机制来解释。我们应更加关注复发性出血性卒中。
