A Case of Probable Moyamoya Disease (Unilateal Moyamoya Disease) Coexisting Arteriovenous Malformation

  • 발행 : 2007.07.30

초록

The authors report a unique case of unilateral Moyamoya disease with a rare combination of arteriovenous malformation (AVM) who presented with intracerebral hemorrhage (ICH). A 50-year-old man suffered from sudden onset of mental deterioration and right hemiparesis. Brain computed tomography (CT) showed intracerebral hemorrhage on left thalamus. Brain CT angiography and cerebral digital subtraction angiography (DSA) revealed AVM combined with unilateral moyamoya disease involving left middle cerebral artery (MCA) and choroid plexus in left lateral ventricle. Intraventricular hemorrhage and hydrocephalus were managed conservatively. A rare case of unilateral Moyamoya disease accompanied by a cerebral arteriovenous malformation is described and discussed with review of pertinent literature.

키워드

참고문헌

  1. Akiyama K, Minakawa T, Tsugi Y, Isayama K : Arteriovenous malformation assiciated with moyamoya disease : case report. Surg Neurol 41 : 468-471, 1994 https://doi.org/10.1016/0090-3019(94)90009-4
  2. Debrun G, Sauvegin J, Aireardi J : Moyamoya, a nonspecific radiological syndrome. Neuroradiology 8 : 241-244, 1975 https://doi.org/10.1007/BF00337659
  3. Friedman P, Salazar J, Sugar O : Embolization and surgical excision of giant arterio-venous malformation. Surg Neurol 9 : 149-152, 1978
  4. Fuse T, Takagi T, Fukushima T, Hashimoto N, Yamada K : Arteriovenous malformation associated with moyamoya disease. Childs Nerv Syst 12 : 404-408, 1996 https://doi.org/10.1007/BF00395095
  5. Halatsch ME, Rustenbeck HH, Jansen J : Progression of arteriovenous malformation in moyamoya syndrome. Acta Neurochir (Wien) 139 : 82-85, 1997 https://doi.org/10.1007/BF01850873
  6. Hardy RC, Williams RG : Moyamoya disease and cerebral hemorrhage. Surg Neurol 21 : 507-510, 1994
  7. Hial SK, Soloman GE, Gold AP, Carter S : Primary cerebral arterial occlusive disease in children Park II. Neurocutaneous syndromes. Radiology 99 : 87-93, 1971 https://doi.org/10.1148/99.1.87
  8. Kayama T, Suzuki S, Sakurai Y, Nagayama T, Ogawa A, Yoshimoto T : A case of moyamoya disease accompaned by an arteriovenous malformation. Neurosurgery 18 : 465-468, 1986 https://doi.org/10.1227/00006123-198604000-00014
  9. Lichtor T, Mullan S : Arteriovenous malformation in moyamoya syndrome. J Neurosurg 67 : 603-608, 1987 https://doi.org/10.3171/jns.1987.67.4.0603
  10. Luessenhop A, Presper J : Moyamoya disease associated with aneurysm. J Neurosurg 48 : 565-569, 1978 https://doi.org/10.3171/jns.1978.48.4.0565
  11. Luessenhop A, Rosa L : Cerebral arteriovenous malformations. J Neruosurg 60 : 12-22, 1984
  12. Maki Y, Enomoto T : Moyamoya disease. Childs Nerv Syst 4 : 204- 212, 1988 https://doi.org/10.1007/BF00270916
  13. Mawad ME, Hilal SK, Michesen WJ, Stein B, Ganti SR : Occlusive vascular disease associated with cerebral arteriovenous malformation. Radiology 153 : 401-408, 1984 https://doi.org/10.1148/radiology.153.2.6484172
  14. Montanera W, Marotta TR, Terbrugge K, Lasjaunias P, Willinsky R, Wallace MC : Cerebral arteriovenous malformation associated with moyamoya phenomenon. Am J Neruoradiol 11 : 1153-1156, 1990
  15. Okada T, Kida Y, Kinomoto T, Sakurai T, Kobayashi T : Arteriovenous malformation associated with moyamoya disease : case report. Neurol Med chir (Tokyo) 30 : 945-948, 1990 https://doi.org/10.2176/nmc.30.945
  16. Parkinson d, Bachers G : Arteriovenous malformations. J Neurosurg 53 : 285-299, 1980 https://doi.org/10.3171/jns.1980.53.3.0285
  17. Schmit BP, Burrows PE, Kuban K, Goumnerrova L, Scott RM : Acquired cerebral arteriovenous malformation in a child with moyamoya disease : case reprot. J Neurosurg 84 : 677-680, 1995
  18. Scott RM : Arteriovenous malformation and moyamoya disease. Childs Nerv Syst 13 : 357, 1997 https://doi.org/10.1007/s003810050097
  19. Seol HJ, Kim DG, Oh CW, Han DJ : Radiosurgical treatment of a cerebral arteriovenous malformation in a patient with moyamoya disease : case report. Neurosurgery 51 : 478-482, 2002 https://doi.org/10.1097/00006123-200208000-00031
  20. Suzuki J, Kodama N : Moyamoya disease-a review. Stroke 14 : 104- 109, 1983 https://doi.org/10.1161/01.STR.14.1.104
  21. Suzuki J, Takaku A : Cerebrovascular moyamoya, Disease showing abnormal net-like vessels in base of brain. Arch Neurol 20 : 288-299, 1969 https://doi.org/10.1001/archneur.1969.00480090076012
  22. Willinsky R, Lasjaunias P, Terbrugge K, Pruvost P : Brain arteriovenous malformation (BAVMS) : analysis of the angioarchitecture in relationship to hemorrhage. J Neuroradiol 15 : 225-237, 1988 https://doi.org/10.1007/BF00327531
  23. Yoon YS, Kim TS, Kim KM, Rhee BA, Kim GK, Leem W : Moyamoya Disease associated with Aneurysm. J Korean Neurosurg Soc 13 : 765-772, 1984