Moyamoya disease-related versus primary intracerebral hemorrhage: [corrected] location and outcomes are different.

Abstract:

BACKGROUND AND PURPOSE:The purpose of our study was to compare lesion location between moyamoya disease-related intracerebral hemorrhage (MMD-ICH) and primary intracerebral hemorrhage (P-ICH). METHODS:Ninety-three patients each with MMD-ICH and P-ICH were compared. In patients with MMD-ICH, angiographic findings were assessed with special attention to the prominent anterior choroidal artery. Follow-up data were obtained through clinical visit and telephone interview. RESULTS:The location of hemorrhage was different between MMD-ICH and P-ICH, the most frequent one being intraventricular region (37.6%) in the former and putaminal region (46.2%) in the latter (P<0.001). Intraventricular hemorrhage was more frequent in MMD-ICH than P-ICH (80.6% versus 20.4%, P<0.001). In MMD-ICH, primary intraventricular hemorrhage was more closely associated with prominent ipsilateral anterior choroidal artery than ICHs without intraventricular hemorrhage (75.0% versus 16.7%, P<0.001). Higher rates of rebleeding and infarction were observed in MMD-ICH than in age- and sex-matched patients with P-ICH. CONCLUSIONS:MMD-ICH may differ from P-ICH in hemorrhage location, generally presenting with intraventricular hemorrhage with or without ICH, which may be due to a prominent anterior choroidal artery. Patients with MMD may be more likely to experience recurrent bleeding and infarction.

journal_name

Stroke

journal_title

Stroke

authors

Nah HW,Kwon SU,Kang DW,Ahn JS,Kwun BD,Kim JS

doi

10.1161/STROKEAHA.112.654004

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1947-50

issue

7

eissn

0039-2499

issn

1524-4628

pii

STROKEAHA.112.654004

journal_volume

43

pub_type

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