Moya moya with haemorrhage

Case contributed by A.Prof Frank Gaillard

Presentation

Acute deterioration in conscious state. No known history of hypertension.

Patient Data

Age: 70 years
Gender: Female
CT

Large haemorrhage is noted arising in the parenchyma near the caudate head on the left side, inferiorly reaching the interhemispheric fissure and superiorly entering the ventricles. Vast amounts of intraventricular haemorrhage are present with hydrocephalus. 

CT

CT angiography

CTA demonstrates bilateral supraclinoid ICA occlusion with large bilateral lenticulostriate collaterals. 

Case Discussion

It is important to remember that Moya-moya pattern is seen in a variety of contexts. Moya moya disease is, in contrast, idiopathic and seen primarily in children. When complications arise they can be fairly well predicted by the patient's age. Children typically suffer from ischaemic events, whereas adults tend to present with haemorrhages from the lenticulostriate collateral vessels. 

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Case information

rID: 46190
Case created: 26th Jun 2016
Last edited: 20th Mar 2017
Inclusion in quiz mode: Included

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