Ziani Hamid, Nasri Siham, Kamaoui Imane, Skiker Imane
Radiology, Mohammed VI University Hospital, Faculty of Medicine, University Mohammed First, Oujda, MAR.
Cureus. 2024 Jan 13;16(1):e52204. doi: 10.7759/cureus.52204. eCollection 2024 Jan.
Moya-Moya disease (MMD) is a rare cerebral vasculopathy affecting children and adults. It is a progressive steno-occlusive arterial disease generally discovered during the etiological assessment of an ischemic or hemorrhagic stroke. Its diagnosis is based essentially on imaging. Cerebral digital subtraction angiography (DSA) remains the gold standard. We report the case of a 42-year-old male patient admitted for the loss of consciousness with a Glasgow Coma Scale (GCS) of 12/15. A brain CT scan revealed a right capsulo-lenticular hematoma with ventricular flooding and hydrocephalus. Cerebral CT angiography showed features of Moya-Moya vasculopathy, which was confirmed by a cerebral catheter angiogram.
烟雾病(MMD)是一种影响儿童和成人的罕见脑血管病。它是一种进行性狭窄闭塞性动脉疾病,通常在缺血性或出血性卒中的病因评估过程中被发现。其诊断主要基于影像学检查。脑数字减影血管造影(DSA)仍然是金标准。我们报告一例42岁男性患者,因意识丧失入院,格拉斯哥昏迷量表(GCS)评分为12/15。脑部CT扫描显示右侧豆状核-壳核血肿伴脑室积血和脑积水。脑CT血管造影显示烟雾病血管病变特征,经脑导管血管造影证实。