Aoki N, Mizutani H
J Neurosurg. 1984 Feb;60(2):348-53. doi: 10.3171/jns.1984.60.2.0348.
The majority of patients with intracranial hemorrhage associated with moyamoya disease have been described as having subarachnoid hemorrhage (SAH), but it seems doubtful that moyamoya disease causes primary SAH. Computerized tomography (CT) has revealed that most of the hemorrhage found in cases of moyamoya disease is intracerebral or intraventricular. The authors have reviewed 54 cases of intracranial hemorrhage confirmed by CT, including nine of their own, and found that in all but one the bleeding was intracerebral or intraventricular. The single case of SAH was due to rupture of a saccular aneurysm associated with moyamoya disease. It may be concluded from these results that moyamoya disease does not cause primary SAH per se.
大多数与烟雾病相关的颅内出血患者被描述为患有蛛网膜下腔出血（SAH），但烟雾病是否会导致原发性SAH似乎值得怀疑。计算机断层扫描（CT）显示，烟雾病病例中发现的大多数出血是脑内或脑室内出血。作者回顾了54例经CT证实的颅内出血病例，包括他们自己的9例，发现除1例之外，所有病例的出血均为脑内或脑室内出血。这例SAH是由与烟雾病相关的囊状动脉瘤破裂所致。从这些结果可以得出结论，烟雾病本身不会导致原发性SAH。
