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A case of pediatric moyamoya disease with severe cerebral vasospasm and delayed cerebral infarction following an intraventricular hemorrhage

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Abstract

Reports on patients with moyamoya disease presenting cerebral ischemic complications after the onset of intraventricular hemorrhage (IVH) and/or intracerebral hemorrhage (ICH) are limited. Herein, we report a case of a 7-year-old girl with moyamoya disease with severe cerebral vasospasm and delayed cerebral infarction following an IVH. Although the case is rare, the potential for vasospasm-induced cerebral infarction should be carefully considered and thus, intensive treatment should be immediately initiated.

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References

  1. Gerard E, Frontera JA, Wright CB (2007) Vasospasm and cerebral infarction following isolated intraventricular hemorrhage. Neurocrit Care 7:257–259. https://doi.org/10.1007/s12028-007-0057-1

    Article  PubMed  Google Scholar 

  2. Iwama T, Kotani Y, Yamakawa H, Nagata I, Hashimoto N, Sakai N (2001) Cerebral ischemic complications following intracranial bleeding in patients with moyamoya disease -three case reports. Neurol Med Chir (Tokyo) 41:450–453. https://doi.org/10.2176/nmc.41.450

    Article  CAS  Google Scholar 

  3. Kainth D, Chaudhry SA, Kainth H, Suri FK, Qureshi AL (2013) Epidemiological and clinical features of moyamoya disease in the USA. Neuroepidemiology 40:282–287. https://doi.org/10.1159/000345957

    Article  PubMed  Google Scholar 

  4. Kim SK, Cho BK, Phi JH, Lee JY, Chae JH, Kim KJ, Hwang YS, Kim IO, Lee DS, Lee J, Wang KC (2010) Pediatric moyamoya disease: an analysis of 410 consecutive cases. Ann Neurol 68:92–101. https://doi.org/10.1002/ana.21981

    Article  PubMed  Google Scholar 

  5. Kiphuth IC, Huttner HB, Breuer L, Engelhorn T, Schwab S, Köhrmann M (2011) Vasospasm in intracerebral hemorrhage with ventricular involvement: a prospective pilot transcranial Doppler sonography study. Cerebrovasc Dis 32:420–425. https://doi.org/10.1159/000330652

    Article  PubMed  Google Scholar 

  6. Lee S, Rivkin MJ, Kirton A, deVeber G, Elbers J, International Pediatric Stroke Study (2017) Moyamoya disease in children: results from the international pediatric stroke study. J Child Neurol 32:924–929. https://doi.org/10.1177/0883073817718730

    Article  PubMed  Google Scholar 

  7. Matsuoka G, Kubota Y, Okada Y (2015) Delayed cerebral ischemia associated with reversible cerebral vasoconstriction in a patient with moyamoya disease with intraventricular hemorrhage: case report. Neuroradiol J 28:322–324. https://doi.org/10.1177/1971400915592553

    Article  PubMed  PubMed Central  Google Scholar 

  8. Nagasaka T, Hayashi S, Naito T, Okamoto T, Ikeda H, Inao S (2007) Concomitant cerebral infarction and intraventricular hemorrhage in moyamoya disease. Case report. J Neurosurg 106:388–390. https://doi.org/10.3171/ped.2007.106.5.388

    Article  PubMed  Google Scholar 

  9. Nakai Y, Hyodo A, Yanaka K, Nose T (2002) Fatal cerebral infarction after intraventricular hemorrhage in a pregnant patient with moyamoya disease. J Clin Neurosci 9:456–458. https://doi.org/10.1054/jocn.2001.0970

    Article  PubMed  Google Scholar 

  10. Rafay MF, Smith SE, Dirks P, Armstrong D, deVeber GA (2006) Hemorrhage predisposing to cerebral infarction in children with moyamoya disease. Pediatr Neurol 34:400–404. https://doi.org/10.1016/j.pediatrneurol.2005.10.003

    Article  PubMed  Google Scholar 

  11. Regula JU, Schill J, Ringleb PA, Sykora M (2014) Cerebral vasospasm and delayed cerebral ischemia in intraventricular hemorrhage. Neurocrit Care 21:460–465. https://doi.org/10.1007/s12028-013-9897-z

    Article  CAS  Google Scholar 

  12. Su IC, Yang CC, Wang WH, Lee JE, Tu YK, Wang KC (2008) Acute cerebral ischemia following intraventricular hemorrhage in moyamoya disease: early perfusion computed tomography findings. J Neurosurg 109:1049–1051. https://doi.org/10.3171/JNS.2008.109.12.1049

    Article  PubMed  Google Scholar 

  13. Yamaguchi R, Kohga H, Tosaka M, Yoshimoto Y, Ishihara S (2015) Neuroendoscopic findings of ventricular wall in adult hemorrhagic moyamoya disease: report of two cases. NMC Case Rep J 2:135–139. https://doi.org/10.2176/nmccrj.2014-0426

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

We would like to thank Enago for the English language review.

Funding

This report did not receive any funding from public or any commercial agencies.

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Authors and Affiliations

  1. Department of Neurosurgery, Faculty of Medicine, Saga University, Saga, Japan

    Kohei Inoue, Fumitaka Yoshioka, Atsushi Ogata, Jun Masuoka & Tatsuya Abe

  2. Department of Neurosurgery, Takagi Hospital, Okawa, Japan

    Shoko Shimokawa

Authors
  1. Kohei Inoue
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  2. Shoko Shimokawa
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  3. Fumitaka Yoshioka
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  4. Atsushi Ogata
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  5. Jun Masuoka
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  6. Tatsuya Abe
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Correspondence to Kohei Inoue.

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Inoue, K., Shimokawa, S., Yoshioka, F. et al. A case of pediatric moyamoya disease with severe cerebral vasospasm and delayed cerebral infarction following an intraventricular hemorrhage. Childs Nerv Syst 37, 695–698 (2021). https://doi.org/10.1007/s00381-020-04769-2

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  • DOI: https://doi.org/10.1007/s00381-020-04769-2

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