Acute cerebral ischemia following intraventricular hemorrhage in moyamoya disease: Early perfusion computed tomography findings - Case report

I. Chang Su, Chi Cheng Yang, Wei Han Wang, Jing Er Lee, Yong Kwang Tu, Kuo Chuan Wang

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

The authors present a rare case of an infarction complication 15 days following acute intraventricular bleeding due to moyamoya disease. Before the infarction occurred, perfusion CT imaging disclosed early but reversible ischemic injury on the day of hemorrhage. Dehydration and hypotension are both possibly contributing factors of progressive injury from reversible ischemia due to infarction. Although the patient underwent successful bypass surgery, 1 month after the ictus the neurobehavior evaluation still showed marked executive dysfunction. The authors address that, in hemorrhagic-type moyamoya disease, early perfusion CT scanning is not only a powerful tool to identify the high-risk group of patients who could experience subacute infarction, but also alarms neurosurgeons to eliminate any predisposing factors when it shows reversible ischemic injuries.

Original languageEnglish
Pages (from-to)1049-1051
Number of pages3
JournalJournal of Neurosurgery
Volume109
Issue number6
DOIs
Publication statusPublished - Dec 1 2008
Externally publishedYes

Keywords

  • Cerebral infarction
  • Intraventricular hemorrhage
  • Moyamoya disease
  • Perfusion computed tomography

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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