Schmit B P, Burrows P E, Kuban K, Goumnerova L, Scott R M
Department of Radiology, Children's Hospital, Boston, Massachusetts 02115, USA.
J Neurosurg. 1996 Apr;84(4):677-80. doi: 10.3171/jns.1996.84.4.0677.
The authors report a unique case involving a 2-year-old child with idiopathic moyamoya disease who presented with cerebral infarctions and seizures. On initial evaluation, computerized tomography (CT) showed a left parietal infarct and angiograms demonstrated early moyamoya disease with no evidence of arteriovenous malformation (AVM). Approximately 9 years later, angiography and magnetic resonance (MR) imaging revealed an AVM centered on the same region of the left parietal lobe. Angiographic, CT, and MR images are presented that demonstrate the progression of moyamoya disease and de novo development of the AVM in the infarct site. The possible role of angiogenesis in the etiology of acquired AVMs and moyamoya disease is discussed.
作者报告了一例独特病例，患儿为2岁，患有特发性烟雾病，表现为脑梗死和癫痫发作。初步评估时，计算机断层扫描（CT）显示左顶叶梗死，血管造影显示早期烟雾病，无动静脉畸形（AVM）证据。大约9年后，血管造影和磁共振（MR）成像显示在左顶叶同一区域有一个AVM。展示了血管造影、CT和MR图像，这些图像显示了烟雾病的进展以及梗死部位AVM的新生。讨论了血管生成在后天性AVM和烟雾病病因中的可能作用。
