Preoperative and Postoperative Evaluation of Cerebral Perfusion and Vasodilatory Capacity With 99m Tc-HMPAO SPECT and Acetazolamide in Childhood Moyamoya Disease

Stroke ◽  
1996 ◽  
Vol 27 (2) ◽  
pp. 282-289 ◽  
Author(s):  
Hajime Touho ◽  
Jun Karasawa ◽  
Hideyuki Ohnishi
2003 ◽  
Vol 15 (1) ◽  
pp. 50-54 ◽  
Author(s):  
Xavier Culebras ◽  
Jean-Baptiste Martin ◽  
Miriam Treggiari-Venzi ◽  
Daniel Ruefenacht ◽  
Walid Habre

Stroke ◽  
2021 ◽  
Author(s):  
Haogeng Sun ◽  
Wanjiang Li ◽  
Chao Xia ◽  
Yutao Ren ◽  
Lu Ma ◽  
...  

Background and Purpose: There is also a risk of stroke in the asymptomatic hemispheres of moyamoya disease (MMD), but it does not draw enough attention. The study investigated the differences between the three types of asymptomatic hemispheres in MMD and their associations with the two types of symptomatic hemispheres, respectively. Methods: Retrospectively reviewed clinical and imaging characteristics of asymptomatic and symptomatic hemispheres in consecutive cases of single-center MMD patients, with an emphasis on imaging characterization regarding vascular morphology and cerebral perfusion. MMD hemispheres were categorized into 5 types: hemorrhagic hemispheres, ischemic hemispheres, asymptomatic hemispheres in unilateral hemorrhagic MMD, asymptomatic hemispheres in unilateral ischemic MMD, and bilateral asymptomatic hemispheres in MMD. Angiographic feature was assessed by Suzuki’s angiographic stage, while hemodynamic feature was assessed by preinfarction period stage. Results: One hundred ninety-four MMD patients with 388 hemispheres were enrolled. Asymptomatic hemispheres in unilateral hemorrhagic MMD were largely similar to hemorrhagic hemispheres, both had more advanced Suzuki’s angiographic stage and lower degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral ischemic MMD. Asymptomatic hemispheres in unilateral ischemic MMD were similar to ischemic hemispheres, both had less advanced Suzuki’s angiographic stage and higher degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral hemorrhagic MMD. Bilateral asymptomatic hemispheres in MMD were different from the other hemispheres and had less advanced Suzuki’s angiographic stage and lower degree of hemodynamic failure. ConclusionS: The three types of asymptomatic hemispheres in MMD are defined and have unique angiographic and hemodynamic features. Different combinations of the two features can reflect the tendency of pathological evolution in these different asymptomatic hemispheres.


NeuroImage ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 202-205 ◽  
Author(s):  
Vı́ctor Navarro ◽  
Cristóbal Gastó ◽  
Francisco Lomeña ◽  
José J. Mateos ◽  
Teodoro Marcos

2011 ◽  
Vol 26 (2) ◽  
pp. 82
Author(s):  
BhagwantRai Mittal ◽  
Anish Bhattacharya ◽  
KanchanKumar Mukherjee ◽  
Raghava Kashyap ◽  
HejjajiVenkataramarao Sunil ◽  
...  

Neurosurgery ◽  
1991 ◽  
Vol 28 (4) ◽  
pp. 616-618 ◽  
Author(s):  
Jeffrey S. Oppenheim ◽  
Rosemaria Gennuso ◽  
Michael Sacher ◽  
Peter Hollis

Abstract A 57-year-old black woman with an atraumatic subdural hematoma was treated for congestive heart failure and was found to have moyamoya disease. The association of these two lesions is rare and has never been described in an African-American. High cerebral venous pressures and changes in cerebral perfusion caused by congestive heart failure and the loss of cerebrovascular autoregulation in moyamoya disease may explain the spontaneous occurrence of a subdural hematoma. Recommendations for management are discussed.


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