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Case Reports
. 2017 Apr-Jun;12(2):228-231.
doi: 10.4103/1793-5482.149997.

Moyamoya disease presenting as bilateral acute subdural hematomas without deficits

Mudumba Vijayasaradhi  1 , Vangala B Prasad  1
Affiliations
Case Reports

Moyamoya disease presenting as bilateral acute subdural hematomas without deficits

Mudumba Vijayasaradhi et al. Asian J Neurosurg. 2017 Apr-Jun.

Abstract

We report a patient presenting with imageological features of bilateral acute subdural hematomas and subarachnoid hemorrhage, who was subsequently diagnosed as a case of moyamoya disease. Imageological features, source of hemorrhage, literature review, and management are discussed. We report this case in view of its rarity in presentation with these imageological features.

Keywords: Bilateral acute subdural hemorrhage; moyamoya disease; subarachnoid hemorrhage.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Axial computed tomography done on the day of ictus showing bilateral subdural hematoma with interhemispheric extension and diffuse subarachnoid hemorrhage
Figure 2
Figure 2
Axial computed tomography showing small infarct in left caudate region suggestive of old infarct
Figure 3
Figure 3
Left internal carotid artery injection during four-vessel angiography anterio posterior view showing supraclinod ICA stenosis with abundant lenticulostriate collaterals (arrow)
Figure 4
Figure 4
Left vertebral injection lateral view showing anterior circulation vessels getting supply from posterior communicating artery
Figure 5
Figure 5
Right external carotid injection lateral view showing high parietal parasagittal vault moyamoya anastomotic vessel (arrow)
Figure 6
Figure 6
Right external carotid injection AP view showing high parietal parasagittal vault moyamoya anastamotic vessel (arrow)
See this image and copyright information in PMC

References

    1. Takeuchi S, Tanaka R, Ishii R, Suchia T, Kobayashi K, Arai H. Cerebral hemodynamics in patients with Moyamoya disease. Surg Neurol. 1985;23:468–74. - PubMed
    1. Yabumoto M, Funahashi K, Fujii T, Hayashi S, Komai N. Moyamoya disease associated with intracranial aneurysms. Surg Neurol. 1983;20:20–241. - PubMed
    1. Oppenheim JS, Gennuso R, Sacher M, Hollis P. Acute atraumatic subdural hematoma associated with moyamoya disease in an African-American. Neurosurgery. 1991;28:616–8. - PubMed
    1. Nakakita K, Tanaka S, Fukuda A, Fujii C, Kohama A, Miyasato H. Nontraumatic acute subdural hematoma caused by the rupture of transdural anastomotic vessels in moyamoya disease. No Shinkei Geka. 1994;22:561–5. - PubMed
    1. Piao R, Oku N, Kitagawa K, Imaizumi M, Matsushita K, Yoshikawa T, et al. Cerebral hemodynamics and metabolism in adult moyamoya disease. Ann Nucl Med. 2004;18:115–21. - PubMed

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