Intracranial Hemorrhage in a Patient with Moyamoya Disease: A Case Report and Literature Review

毛毛樣病患者顱內出血：一病例報告及文獻回顧

黃英傑(Ying C. Huang) ； 吳啟順(Chi-Shun Wu) ； 黃駿麟(Chun-Lin Huang)

《中華民國急救加護醫學會雜誌》 16卷1期 (2005/03) Pp. 18-24

https://doi.org/10.30018/JECCM.200503.0003

摘要

毛毛樣病是一種特殊、慢性進行的血管阻塞性疾病，特別喜好侵犯腦血管。該病因持續進行造成血管阻塞，逐漸形成的側枝循環在血管造影下就如同煙霧一般，這是此病診斷的特色，也是當初取名所用日文的文義。本病除了因血管阻塞會造成腦部缺血，還會造成各種顱內出血。我們在此報導一位因顱內出血而被送醫的患者，並就相關文獻做一複習。本病在台灣遠較日本少見，期待每一位醫師當面對年幼梗塞性中風患者，或是年輕、非創傷性顱內出血患者時，能將此病例入鑑別診斷的考慮。

關鍵字

毛毛樣病 ； 顱內出血

並列摘要

Moyamoya disease (MMD) is a specific chronic cerebrovascular occlusive disease which is characterized by progressive occlusion of the vasculature, predominantly in the brain. Many branches of collateral circulation develop and give rise to the angiographic appearance of a ”puff of smoke” that is pathogonomic of this disease and is also the origin of its name in Japanese. In addition to ischemic insults to the brain, various types of complicated intracranial hemorrhaging often occur. Herein we reported a case who presented with intracranial hemorrhage. The associated literature was reviewed MMD is a rare disease in Taiwan in comparison to Japan. However, this disease must be considered in the differential diagnosis treating a young patient with infarction stroke or non-traumatic intracranial hemorrhage.

並列關鍵字

Moyamoya disease ； Intracranial hemorrhage