Sonobe M, Takahashi S, Kubota Y, Shirane R
No Shinkei Geka. 1982 Aug;10(8):857-9.
A case of chronic subdural hematoma following EMS (Encephalo-Myo-Synangiosis) for moyamoya disease was presented. Two and a half year-old girl was admitted to our division because of right hemiparesis. Left carotid angiography revealed a very narrow left carotid bifurcation and small moyamoya vessels. EMS was performed on the left side and a right hemiparesis was improved. But she developed a headache and vomiting one month after the operation. CT scan and angiogram showed a chronic subdural hematoma on the left side. A hematoma weighing approximately 30 g was evacuated. We reviewed a similar case of 5-year-old boy in the literature and discussed the mechanism accounting for formation of the chronic subdural hematoma following EMS.
本文报告1例烟雾病行脑-肌-血管融合术（Encephalo-Myo-Synangiosis，EMS）后发生慢性硬膜下血肿的病例。一名2岁半女童因右侧偏瘫入住我科。左颈动脉血管造影显示左颈动脉分叉处非常狭窄，并有细小的烟雾状血管。在左侧进行了EMS手术，右侧偏瘫症状得到改善。但术后1个月，她出现头痛和呕吐症状。CT扫描和血管造影显示左侧有慢性硬膜下血肿。清除了一个重量约为30克的血肿。我们回顾了文献中1例5岁男孩的类似病例，并讨论了EMS术后慢性硬膜下血肿形成的机制。
