Pediatric Moyamoya Presenting as a Subarachnoid Hemorrhage from a Ruptured Anterior Cerebral Artery Aneurysm
Autor: | Raghid Kikano, Michel Mawad, Rita Chahinian, Ahmad Sweid, Anis Nassif, Ibrahim Saikali, Mohammad Hassan A. Noureldine |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage business.industry Incidence (epidemiology) Disease medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine Aneurysm 030220 oncology & carcinogenesis medicine.artery medicine Anterior cerebral artery cardiovascular diseases Neurology (clinical) Moyamoya disease Presentation (obstetrics) Complication business 030217 neurology & neurosurgery |
Zdroj: | World Neurosurgery. 134:123-127 |
ISSN: | 1878-8750 |
Popis: | Background The incidence of Moyamoya disease (MMD)–associated intracranial aneurysms ranges from 3% to 14% in adult patients, whereas this complication has rarely been reported in children. Case Description We herein report the first case, to our knowledge, of an extremely rare subarachnoid hemorrhage presentation of a child with a ruptured anterior cerebral artery dissecting aneurysm secondary to a newly discovered, unilateral Moyamoya-like pathology. Conclusions MMD-associated aneurysms are extremely rare in children, and hemorrhage may be the initial presentation of the disease. Prompt intervention is essential to exclude the ruptured aneurysm that is at risk of rebleeding because of persistent hemodynamic stress. |
Databáze: | OpenAIRE |
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