Intracerebral hemorrhage in a patient with moyamoya syndrome: case report
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2021-03-04 06:15
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GAVRILIUC, Pavel; COSTRU-TAŞNIC, Elena; PLEŞCAN, Tatiana; DACIN, Ianuş. Intracerebral hemorrhage in a patient with moyamoya syndrome: case report. In: MedEsperaInternational Medical Congress for Students and Young Doctors. 7, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, p. 29.
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Dublin Core
MedEspera
7, 2018
Congresul "International Medical Congress for Students and Young Doctors"
7th edition, Chişinău, Moldova, 3-5 mai 2018

Intracerebral hemorrhage in a patient with moyamoya syndrome: case report


Pag. 29-29

Gavriliuc Pavel12, Costru-Taşnic Elena1, Pleşcan Tatiana1, Dacin Ianuş2
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Institutul de Neurologie si Neurochirurgie ”Diomid Gherman”
 
Disponibil în IBN: 31 octombrie 2020


Rezumat

Background. Moyamoya disease is a cerebrovascular disease that is characterized by bilateral chronic and progressive stenosis or occlusion of the arteries around the circle of Willis with development of collateral circulation, of unknown etiology. It has a high incid ence in Japan and Asian population, with fewer cases described in Europe. Similar angiographic findings can be seen in patients with other medical conditions that are described as Moyamoya syndrome. Main clinical features include transient ischemic attacks , ischemic strokes, and hemorrhagic strokes. Case report. We describe a 38 year old female patient that presented with an intracerebral hemorrhage with a typical location for hypertensive bleeds. She had no vascular risk factors, but a high normal blood p ressure (140/90 mmHg), and elevated ESR. A magnetic resonance angiography showed occlusion of internal carotid artery with development of collateral cerebral circulation on the side of the bleeding. Unilateral affection and elevated ESR were more character istic for a moyamoya syndrome within a systemic disease. Conclusions. Despite a typical hypertensive location of the bleeding, vascular imaging is warranted in all patients with intracerebral bleedings to evaluate for atypical etiologies. Our case represe nts a patient that might benefit from revascularization surgery in the context of multifactorial risk factor control.

Cuvinte-cheie
Moyamoya syndrome, stroke, Hemorrhage, intracerebral, collateral flow.