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Title: Adult onset moyamoya disease: institutional experience.
Authors: Chinchure, Swati Dayanand
Pendharkar, Hima Shriniwas
Gupta, Arun Kumar
Bodhey, Narendra
Harsha, K J
Keywords: Neurology
Issue Date: 2011
Publisher: Neurology India
Citation: Neurology India. 59; 5; 733-8
Abstract: Moyamoya disease is a progressive steno-occlusive disease of bilateral carotid forks with the formation of fine collateral vascular network and is an angiographic diagnosis. We analyzed case records of 11 patients with "adult-onset moyamoya disease." Six patients presented with intracranial hemorrhage (intracerebral and/or intraventricular) and 5 with focal ischemia. Angiography revealed bilateral Internal carotid artery involvement in 8 patients and unilateral involvement in 3. Posterior cerebral artery involvement was seen in 3 patients. Saccular aneurysm involving posterior circulation was seen in only 1 patient. Although rare, adult-onset moyamoya disease should be considered as one of the causes for intracerebral and intraventricular hemorrhage in adults.
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