title: Concomitant cerebral infarction and intraventricular hemorrhage in moyamoya disease. Case report.
abstract: Moyamoya disease is categorized as either ischemic or hemorrhagic type, and the pathogenesis of this disease is unknown. In this paper, the authors report on a patient with moyamoya disease who suffered concomitant cerebral infarction and intraventricular hemorrhage (IVH). Endoscopic removal of the intraventricular hematoma and ventricular drainage were both performed. The patient did not experience further ischemic complications. Patients with moyamoya disease have intracranial hemodynamic insufficiency. Adequate control of intracranial pressure and removal of the intraventricular hematoma is important to prevent progression of cerebral infarction and hydrocephalus. To the authors' knowledge, this is the first report of concomitant cerebral infarction and IVH, or true mixed-type moyamoya disease. A possible pathogenesis of this rare condition is discussed.
authors.affiliation: Department of Neurosurgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan. torungy@umin.ac.jp
authors.forename: Toru
authors.initials: T
authors.lastname: Nagasaka
authors.forename: Shigemasa
authors.initials: S
authors.lastname: Hayashi
authors.forename: Takehiro
authors.initials: T
authors.lastname: Naito
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ikeda
authors.forename: Suguru
authors.initials: S
authors.lastname: Inao
mesh_terms: D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D002648:Child; D004724:Endoscopy; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D009072:Moyamoya Disease / Q000150:complications*; D019635:Neurosurgical Procedures; D014057:Tomography, X-Ray Computed