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Acute recurrent cerebral infarction caused by moyamoya disease complicated with adenomyosis:A case report

World Journal of Clinical Cases 2022年第14期10卷 4617-4624页

作者： Shao Zhang Li-Ming Zhao Bing-Qian Xue Hao Liang Gao-Chao Guo Yang Liu Rui-Yu Wu Chao-Yue Li Department of Neurosurgery Henan University People's HospitalHenan Provincial People's HospitalZhengzhou 450000Henan ProvinceChina Department of Neurosurgery Zhengzhou University People's HospitalHenan Provincial People's HospitalZhengzhou 450000Henan ProvinceChina

BACKGROUND Moyamoya disease is essentially an ischemic cerebrovascular ***,we describe a case of acute recurrent cerebral infarction caused by moyamoya disease with concurrent adenomyosis which,to our knowledge,is the first in the literature.A literature review is also *** SUMMARY A 38-year-old female presented to the Research and Treatment Center of Moyamoya Disease in our hospital with"left limb weakness"as the main *** was diagnosed with acute cerebral infarction and moyamoya disease through magnetic resonance imaging and digital subtraction *** to this,she had experienced a prolonged menstrual period of one-month *** was investigated and adenomyosis was *** passing the acute cerebral infarction phase,the patient underwent surgery for adenomyosis followed by combined cerebral *** the postoperative follow-up,improvements of the perfusion imaging stage and modified Rankin Scale were observed.A review of the literature showed only 16 reported cases of gynecological diseases complicated with *** clinical characteristics,pathogenesis,therapeutic effects,and long-term prognosis of these cases have been studied and *** In patients with moyamoya disease,early management of gynecological-related bleeding disorders is essential to prevent the complications of cerebral events.

关键词： Moyamoya disease combined cerebral revascularization Acute recurrent cerebral infarction Abnormal uterine bleeding Adenomyosis Case report

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Risk factors of postoperative cerebral hyperperfusion syndrome and its relationship with clinical prognosis in adult patients with moyamoya disease

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Chinese Neurosurgical Journal 2023年第3期9卷 190-198页

作者： Zhiyong Shi Lingyun Wu Yi Wang Huasheng Zhang Yongbo Yang Chunhua Hang Department of Neurosurgery Nanjing Drum Tower HospitalThe Affiliated Hospital of Nanjing University Medical SchoolNo.321 Zhongshan RoadNanjingJiangsu Province MN 210008People’s Republic of China

Background To investigate the incidence,risk factors,and clinical prognosis of cerebral hyperperfusion syndrome(CHS)after superficial temporal artery-middle cerebral artery anastomosis combined with encephalo-duro-arterio-synangiosis(STA-MCA/EDAS)in adult patients with moyamoya disease(MMD).Methods The clinical data of 160 adult patients with MMD treated by STA-MCA/EDAS from January 2016 to January 2017 were retrospectively *** to CHS diagnosis,MMD patients were divided into CHS and non-CHS *** and multivariate analysis of risk factors and Kaplan-Meier curve of stroke-free survival for CHS were *** A total of 12 patients(7.5%)developed postoperative CHS,of which 4 patients(2.5%)presented with cerebral *** and multivariate analysis showed moyamoya vessel on the surgical hemisphere(OR=3.04,95%CI=1.02-9.03,P=0.046)and left operated hemisphere(OR=5.16,95%CI=1.09-21.34,P=0.041)were independent risk factors for *** other variables,such as age,gender,presentation,hypertension,diabetes,smoking,mean mRS score on admission,modified Suzuki stage and pre-infarction stage on surgical hemisphere,and bypass patency,had no association with postoperative CHS(P>0.05).At final follow-up with average 38 months,there were 18 out of 133 patients(13.5%,4.91%per person year)presented with newly developed *** was no significant difference between newly developed complications,mean mRS scores,and Kaplan-Meier curve of stroke-free survival in patients with and without CHS(P>0.05).Conclusion The concentration of moyamoya vessels and left operated hemisphere was independent risk factors for CHS,which could not affect the clinical prognosis if treated timely and *** current study offers a new perspective of moyamoya vessels and supporting data for choosing MMD candidates on cerebral revascularization.

关键词： Moyamoya disease combined cerebral revascularization cerebral hyperperfusion syndrome Risk factors Clinical prognosis

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