J Korean Neurosurg Soc.  1991 Jul;20(7):518-527.

Clinical Analysis of Surgical Results in Moyamoya Disease Associated with Intraventricular Hemorrhage

• Cho YJ
• Hwang JH
• Ahn MS

Abstract

Moyamoya disease is an unusual vascular disorder highlighted by progressive bilateral internal carotid artery occlusion and collateralization of intracranial blood flow. The purposes of the bypass procedures : 1) reduce or arrest of the chance of repeated ischemic attack by making the additional collateral blood flow, 2) decrease the chance of repeated bleeding by reducing the number of moyamoya vessels. During the period from June 1989 through February 1991, 8 moyamoya diseases associated with intraventricular hemorrhage were operated by STA-MCA anastomosis plus EMS. Results are as follows : 1) Slightly female dominancy in incidence(5 : 3), and all of the patients were middle aged(range 32 to 55 years). 2) All of the patients had sudden onset of headache, and most patients whad neck stiffness and vomiting. 3) In all of the patients, confirmatory diagnosis could be done by angiography, and all of the patients had gypical angiographic findings of moyamoya disease. 4) All of the patients had IVH in brain CT scan. 5) All of the patients were surgically treated : STA-MCA anastomosis plus EMS. 6) The postoperative revascularization rate was 89%(8 sides in 9 sides). 7) The postoperative results were excellent in 5, good in 1, and death in 2. The rarity of such lesions in KOrea and their surgical results are reviewed briefly.

Keyword

Moyamoya disease; Angiography; IVH; STA-MCA anastomosis; EMS

MeSH Terms

Angiography
Brain
Carotid Artery, Internal
Diagnosis
Female
Headache
Hemorrhage*
Humans
Korea
Moyamoya Disease*
Neck
Tomography, X-Ray Computed
Vomiting