Türk Beyin Damar Hast Derg. 2012; 18(3): 83-86 | DOI: 10.5505/tbdhd.2012.88598

Presentation of moyamoya disease with occipital hemorrhage: a case report

Sekan Demir¹, Mustafa Tansel Kendirli¹, Murat Velioðlu², Hakan Tekeli¹, Turan Doðan¹, Mehmet Güney Þenol¹, Fatih Özdað¹, Mehmet Saraçoðlu^1
1Gata Haydarpaþa Education Hospital, Neurology Clinic, Ýstanbul
²Gata Haydarpaþa Education Hospital, Radiology Clinic, Ýstanbul

Moyamoya disease is a cerebrovascular disease which is characterized with stenosis and occlusions at the distal part of internal carotid artery and at the proximal part of anterior and middle cerebral arteries. It rarely causes temporary or recurrent hemiparesis due to intracranial hemorrhage while symptoms like headache, convulsion, nystagmus, aphasia and ataxia may also occur. In this paper, we present a case of Moyamoya disease which was diagnosed with a 23 year old female patient who was admitted to our emergency department with headache, nausea and vomiting complaints and whose radiological findings showed occipital lobe hemorrhage.

Keywords: Moyamoya disease, intracranial hemorrhage, headache, digital subtraction angiography-DSA

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Oksipital hemoraji ile prezente olan moyamoya hastalýðý: bir olgu sunumu

Sekan Demir¹, Mustafa Tansel Kendirli¹, Murat Velioðlu², Hakan Tekeli¹, Turan Doðan¹, Mehmet Güney Þenol¹, Fatih Özdað¹, Mehmet Saraçoðlu^1
1Gata Haydarpaþa Eðitim Hastanesi, Nöroloji Servisi, Ýstanbul
²Gata Haydarpaþa Eðitim Hastanesi, Radyoloji Servisi, Ýstanbul

Moyamoya hastalýðý, internal karotid arterin distali ile ön ve orta serebral arterlerin proksimalinde stenoz veya oklüzyonlarla seyreden serebrovasküler bir hastalýktýr. Nadiren intrakraniyal hemorajiye baðlý geçici veya tekrarlayýcý hemipareziye neden olurken baþ aðrýsý, konvülziyon, nistagmus, afazi ve ataksi gibi semptomlar da görülebilir. Bu yazýmýzda baþ aðrýsý, bulantý ve kusma þikayetleri ile acil servisimize baþvuran ve radyolojik bulgularý oksipital lob hemorajisini gösteren 23 yaþýnda bayan hastada teþhis edilen bir Moyamoya Hastalýðý vakasý sunuyoruz.

Anahtar Kelimeler: Moyamoya hastalýðý, intrakraniyal hemoraji, baþ aðrýsý, dijital subtraksiyon anjiyografisi-DSA

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