摘要
目的探讨Moyamoya病(MMD)发生颅内出血的原因。方法收集作者近期收治的2 1例有颅内出血的MMD患者的临床资料,并结合文献中报道的5 4例MMD患者进行回顾性分析。结果7 5例患者中,CT显示MMD患者脑内出血位于脑实质内4 7例,脑室内出血2 2例,蛛网膜下腔出血6例,表现为蛛网膜下腔出血的MMD患者均经DSA证实为伴发颅内动脉瘤。结论MMD出血主要位于脑实质内或脑室内,有蛛网膜下腔出血时,应考虑并存颅内W illis环附近主要动脉动脉瘤可能。
Objective To explore the causes of spontaneous intracranial hemorrhage in patients with Moyamoya＇ s disease （MMD）. Methods 21 cases of MMD patients who had been confirmed by cerebral angiography（2003 -2005） in our hospital and 54 patients with MMD reported in literatures were retrospectively analyzed. Results Among 75 patients, CT shows that MMD patients devoloped intracerebral hemorrhage in 47 cases, intraventricular hemorrhage in 22 cases and subaraehnoid hemorrhage in 6 cases. All 6 cases of MMD patients with SAH were accompanied with aneurysms which were confirmed by cerebral angiography. Conclusions The patients suffered from MMD often developed intracerebral hemorrhage and/or intraventricular hemorrhage, we should be alerted the existence of saccular aneurysm in MMD patients suffered from subarachnoid hemorrhage that its main cause was the rupture of accular aneurysms which located in the main artery of Willis circle.
出处
《国际神经病学神经外科学杂志》
2007年第2期114-117,共4页
Journal of International Neurology and Neurosurgery
