A case of middle cerebral atrery occlusion with moyamoya phenomenon Evaluation of serial angiographic findings

• Published in: Japanese Journal of Stroke Vol. 8; no. 4; pp. 316 - 321
• Main Authors: Takechi, Akihiko, Uozumi, Tohru, Ohta, Keiji, Yoshimoto, Hisanori, Mikami, Takashi
• Format: Journal Article
• Language: Japanese
• Published: The Japan Stroke Society 25.08.1986
• Subjects: accessory middle cerebral artery; arterial occlusion; middle cerebral artery; moyamoya disease; moyamoya phenomenon
• ISSN: 0912-0726; 1883-1923
• DOI: 10.3995/jstroke.8.316

A case of a left middle cerebral artery stenosis with moyamoya phenomenon was experienced. A healthy 13-year-old girl complained a headache, nausea and vomiting after taking a bath and she was admitted to a near hospital on June 22, 1984. One day later she was referred to Matsue Red Cross Hospital under diagnosis of subarachnoid hemorrhage by the lumbar puncture that yielded bloody spinal fluid. On admission, CT scan showed the left frontal subcortical hemorrhage. The left internal carotid angiography revealed the stenosis of the left middle cerebral artery at the M2 portion with moyamoya phenomenon and the right accessory middle cerebral artery originated from the anterior communicating artery. The right internal carotid and bilateral vertebral angiographies revealed neither occlusion, stenosis, nor moyamoya phenomenon. Fourteen months later the follow up left internal carotid angiography revealed the improvement of the stenosis of the left middle cerebral artery and the reduction of moyamoya phenomenon. The authors have reviewed the literatures and emphasise that a long term follow up is necessary in order to make an exact and a differential diagnosis from moyamoya disease.