Annals of Indian Academy of Neurology
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CASE REPORT
Year : 2012  |  Volume : 15  |  Issue : 1  |  Page : 60-62

Cerebral infarction following intracranial hemorrhage in pediatric Moyamoya disease - A case report and brief review of literature


Department of Paediatric Medicine, NRS Medical College and Hospital, 138, AJC Bose Road, Kolkata, West Bengal, India

Correspondence Address:
Soumya Patra
Department of Paediatric Medicine, NRS Medical College and Hospital, Kolkata - 700 014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.93285

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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.


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