J Korean Neurosurg Soc.  2003 Apr;33(4):406-409.

Non-Traumatic Subdural Hematoma in an Adult Patient with Probable Moyamoya Disease: case Report

• Kim MS
• Hur JW
• Lee JW
• Lee HK

Abstract

We report a case of acute subdural hematoma(SDH) associated with subarachnoid and intracerebral hematoma in probable moyamoya disease. A 62-year-old woman was hospitalized for a sudden severe headache. Neurological examination on admission revealed severe headache without focal neurological signs. Computerized tomographic(CT) images showed SDH, subarachnoid hemorrhage, and intracerebral hematoma. Cerebral angiograms demonstrated a probable moyamoya disease. Single photon emission computerized tomography indicated a reduction of both the resting regional cerebral blood flow and the response following intravenous acetazolamide injection, especially in the left frontal lobe. Follow up CT images eight days later showed that the subarachnoid hemorrhage had disappeared, and the subdural and intracerebral hematoma mostly resolved.

Keyword

Subdural hematoma; Probable moyamoya disease

MeSH Terms

Acetazolamide
Adult*
Female
Follow-Up Studies
Frontal Lobe
Headache
Hematoma
Hematoma, Subdural*
Humans
Middle Aged
Moyamoya Disease*
Neurologic Examination
Subarachnoid Hemorrhage
Tomography, Emission-Computed, Single-Photon
Acetazolamide