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一例儿童烟雾病伴脑室出血后严重脑血管痉挛和迟发性脑梗死。

A case of pediatric moyamoya disease with severe cerebral vasospasm and delayed cerebral infarction following an intraventricular hemorrhage.

机构信息

Department of Neurosurgery, Faculty of Medicine, Saga University, Saga, Japan.

Department of Neurosurgery, Takagi Hospital, Okawa, Japan.

出版信息

Childs Nerv Syst. 2021 Feb;37(2):695-698. doi: 10.1007/s00381-020-04769-2. Epub 2020 Jul 14.

DOI:10.1007/s00381-020-04769-2
PMID:32666155
Abstract

Reports on patients with moyamoya disease presenting cerebral ischemic complications after the onset of intraventricular hemorrhage (IVH) and/or intracerebral hemorrhage (ICH) are limited. Herein, we report a case of a 7-year-old girl with moyamoya disease with severe cerebral vasospasm and delayed cerebral infarction following an IVH. Although the case is rare, the potential for vasospasm-induced cerebral infarction should be carefully considered and thus, intensive treatment should be immediately initiated.

摘要

关于脑室出血(IVH)和/或脑出血(ICH)后出现脑缺血并发症的烟雾病患者的报告有限。本文报告了一例 7 岁女孩,患有烟雾病,在 IVH 后出现严重的脑血管痉挛和迟发性脑梗死。尽管该病例较为罕见,但应仔细考虑血管痉挛引起的脑梗死的可能性,因此应立即开始强化治疗。

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A case of pediatric moyamoya disease with severe cerebral vasospasm and delayed cerebral infarction following an intraventricular hemorrhage.一例儿童烟雾病伴脑室出血后严重脑血管痉挛和迟发性脑梗死。
Childs Nerv Syst. 2021 Feb;37(2):695-698. doi: 10.1007/s00381-020-04769-2. Epub 2020 Jul 14.
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本文引用的文献

1
Moyamoya Disease in Children: Results From the International Pediatric Stroke Study.儿童烟雾病:国际儿科卒中研究结果
J Child Neurol. 2017 Oct;32(11):924-929. doi: 10.1177/0883073817718730. Epub 2017 Jul 17.
2
Neuroendoscopic Findings of Ventricular Wall in Adult Hemorrhagic Moyamoya Disease: Report of Two Cases.成人出血性烟雾病脑室壁的神经内镜检查结果:2例报告
NMC Case Rep J. 2015 Sep 9;2(4):135-139. doi: 10.2176/nmccrj.2014-0426. eCollection 2015 Oct.
3
Delayed cerebral ischemia associated with reversible cerebral vasoconstriction in a patient with Moyamoya disease with intraventricular hemorrhage: Case report.
烟雾病伴脑室内出血患者中与可逆性脑血管收缩相关的迟发性脑缺血:病例报告
Neuroradiol J. 2015 Jun;28(3):322-4. doi: 10.1177/1971400915592553.
4
Epidemiological and clinical features of moyamoya disease in the USA.美国烟雾病的流行病学和临床特征。
Neuroepidemiology. 2013;40(4):282-7. doi: 10.1159/000345957. Epub 2013 Feb 23.
5
Vasospasm in intracerebral hemorrhage with ventricular involvement: a prospective pilot transcranial Doppler sonography study.伴有脑室受累的脑出血中的血管痉挛:一项前瞻性试点经颅多普勒超声研究。
Cerebrovasc Dis. 2011;32(5):420-5. doi: 10.1159/000330652. Epub 2011 Oct 8.
6
Pediatric moyamoya disease: An analysis of 410 consecutive cases.小儿烟雾病:410 例连续病例分析。
Ann Neurol. 2010 Jul;68(1):92-101. doi: 10.1002/ana.21981.
7
Acute cerebral ischemia following intraventricular hemorrhage in moyamoya disease: early perfusion computed tomography findings.
J Neurosurg. 2008 Dec;109(6):1049-51. doi: 10.3171/JNS.2008.109.12.1049.
8
Concomitant cerebral infarction and intraventricular hemorrhage in moyamoya disease. Case report.烟雾病合并脑梗死和脑室内出血。病例报告。
J Neurosurg. 2007 May;106(5 Suppl):388-90. doi: 10.3171/ped.2007.106.5.388.
9
Vasospasm and cerebral infarction following isolated intraventricular hemorrhage.孤立性脑室内出血后的血管痉挛和脑梗死
Neurocrit Care. 2007;7(3):257-9. doi: 10.1007/s12028-007-0057-1.
10
Hemorrhage predisposing to cerebral infarction in children with moyamoya disease.
Pediatr Neurol. 2006 May;34(5):400-4. doi: 10.1016/j.pediatrneurol.2005.10.003.