caa a22 4500 477107710 CHVBK 20180405111559.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/BF01809751 doi (NATIONALLICENCE)springer-10.1007/BF01809751 Clinical features of the haemorrhage type moyamoya disease based on 31 cases [Elektronische Daten] [S. Kawaguchi, T. Sakaki, T. Kakizaki, K. Kamada, T. Shimomura, H. Iwanaga] Summary: We evaluated and analysed our own 31 cases of the haemorrhagic type of moyamoya disease to clarify the clinical features of this disease. The cases were divided into three groups. Group A consisted of 12 cases with aneurysms. Aneurysms on the circle of Willis were treated as ordinary saccular aneurysms. Group B consisted of 14 cases with intracerebral haemorrhage (ICH) without aneurysms. These were managed almost as spontaneous ICH. Group C consisted of 5 cases with intraventricular haemorrhage (IVH) without aneurysms or ICH. Twenty-two surgical procedures for aneurysms, ICH and IVH were done in 19 cases (62%). Nineteen procedures for preventing future strokes were undertaken in 11 cases (35%). The overall initial outcome was excellent in 12 cases (39%), good in 7 cases (23%), poor in 7 cases (23%), and death in 5 cases (15%). During the follow-up period (mean: 6.5 years), rebleeding occurred in two cases (8%), and ischaemic attacks in two cases (8%). The rate of rebleeding or ischaemic attacks was 1.19% per patient-year during the follow-up period. There was no ischaemic or rebleeding episode in cases treated by STA-MCA bypass with encephalomyosynagiosis (EMS) during the follow-up period. Management of the primary haemorrhage should be according to the clinical condition, type of haemorrhage, and source of haemorrhage. When the patient needs to undergo revascularization surgery to prevent future strokes, we recommend STA-MCA bypass with EMS instead of encephaloduro-arteriosynangiosis (EDAS). Springer-Verlag, 1996 Moyamoya disease nationallicence intracranial haemorrhage nationallicence treatment nationallicence Kawaguchi S. Department of Neurosurgery, Nara Medical University, Nara aut Sakaki T. Department of Neurosurgery, Nara Medical University, Nara aut Kakizaki T. Department of Neurosurgery, Nara Medical University, Nara aut Kamada K. Gojoh Nara Prefectoral Hospital, Nara aut Shimomura T. Scikeikai Hospital, Osaka, Japan aut Iwanaga H. Osaka Police Hospital, Osaka, Japan aut Acta Neurochirurgica Springer-Verlag 138/10(1996-10-01), 1200-1210 0001-6268 138:10<1200 1996 138 701 https://doi.org/10.1007/BF01809751 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01809751 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kawaguchi S. Department of Neurosurgery, Nara Medical University, Nara aut NATIONALLICENCE 700 1- Sakaki T. Department of Neurosurgery, Nara Medical University, Nara aut NATIONALLICENCE 700 1- Kakizaki T. Department of Neurosurgery, Nara Medical University, Nara aut NATIONALLICENCE 700 1- Kamada K. Gojoh Nara Prefectoral Hospital, Nara aut NATIONALLICENCE 700 1- Shimomura T. Scikeikai Hospital, Osaka, Japan aut NATIONALLICENCE 700 1- Iwanaga H. Osaka Police Hospital, Osaka, Japan aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer-Verlag 138/10(1996-10-01), 1200-1210 0001-6268 138:10<1200 1996 138 701 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer