Open AccessCerebral infarction following intracranial hemorrhage in pediatric Moyamoya disease - A case report and brief review of literature
Author(s) -
Soumya Patra,
Radheshyam Purkait,
Tapankumar Sinhamahapatra,
Abhijit Misra
Publication year - 2012
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.93285
Subject(s) - medicine , moyamoya disease , intraventricular hemorrhage , radiology , magnetic resonance imaging , infarction , encephalomalacia , cerebral angiography , hemiparesis , cerebral infarction , vomiting , magnetic resonance angiography , cardiology , angiography , surgery , ischemia , pathology , myocardial infarction , pregnancy , biology , genetics , gestational age
Moyamoya disease is a clinical entity characterized by progressive cerebrovascular occlusion with spontaneous development of a collateral vascular network called Moyamoya vessels. This disease mainly manifests as cerebral ischemia. Intracranial bleeding is another major presentation of patients with Moyamoya disease. We report here a 12-year-old male child who presented with severe headache, vomiting and meningismus. Initial neuroimaging study with noncontrast computed tomography scan revealed fresh intraventricular hemorrhage in right-sided lateral ventricle. Magnetic resonance imaging with angiography of brain was done 5 days later when the child developed right-sided hemiparesis, and the diagnosis of Moyamoya disease was confirmed along with lacunar infarction of right posterior peri and paraventricular area and in the left paraventricular area and centrum semiovale. Simultaneous presence of cerebral infarction along with intraventricular hemorrhage in adult with bleeding-type Moyamoya disease is reported in literature, but it is a rare entity in a child.