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The different infarct patterns between adulthood-onset and childhood-onset moyamoya disease

DC FieldValueLanguage
dc.contributor.author허지회-
dc.contributor.author김동석-
dc.contributor.author김영대-
dc.contributor.author남효석-
dc.contributor.author정요한-
dc.contributor.author조현지-
dc.date.accessioned2014-12-20T16:25:39Z-
dc.date.available2014-12-20T16:25:39Z-
dc.date.issued2011-
dc.identifier.issn0022-3050-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/92695-
dc.description.abstractBACKGROUND AND PURPOSE: The pattern of infarctions based on the findings of diffusion-weighted image was assessed, and it was also investigated whether there are any age-specific differences in patients with moyamoya disease (MMD). METHODS: The subjects were 66 consecutive patients with MMD who had an acute cerebral infarction. Each ischaemic lesion was categorised into one of seven patterns (gyral, atypical territorial, honeycomb, classic territorial, multiple-dot, borderzone, deep lacunar) based on diffusion-weighted image findings. The patterns were compared between adulthood-onset MMD (A-MMD, ≥20 years old, 34 patients) and childhood/adolescent-onset MMD (C-MMD, <20 years old, 32 patients) according to their ages of infarct presentation. RESULTS: A total of 91 infarct patterns were observed from 66 patients. The gyral, atypical territorial, and honeycomb patterns, which are not usually seen in conventional stroke patients, were common in MMD (68.1%). Among all patterns, a gyral pattern was most common (40/91, 44.0%). Borderzone and deep lacunar patterns were infrequent. Gyral and borderzone patterns were more frequently seen in the C-MMD group, whereas a honeycomb pattern was not seen in young patients. Honeycomb pattern was more common at advanced vascular stages. Infarctions confined to the cortex were more common in the C-MMD group (26/32, 75.0%) than in A-MMD patients (14/34, 41.2%). CONCLUSIONS: Moyamoya disease showed various characteristic and age-specific infarct patterns. Different infarct patterns between the A-MMD and C-MMD groups may be associated with age-specific vulnerability of the brain to ischaemia, stage of arteriopathy or changes of abnormal collateral pathways.-
dc.description.statementOfResponsibilityopen-
dc.format.extent38~40-
dc.relation.isPartOfJournal of Neurology, Neurosurgery and Psychiatry-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAge of Onset-
dc.subject.MESHBrain/pathology-
dc.subject.MESHBrain Ischemia/pathology-
dc.subject.MESHCerebral Angiography-
dc.subject.MESHCerebral Infarction/diagnostic imaging-
dc.subject.MESHCerebral Infarction/etiology-
dc.subject.MESHCerebral Infarction/pathology*-
dc.subject.MESHChild-
dc.subject.MESHDiffusion Magnetic Resonance Imaging-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHImage Processing, Computer-Assisted-
dc.subject.MESHMagnetic Resonance Angiography-
dc.subject.MESHMale-
dc.subject.MESHMoyamoya Disease/complications-
dc.subject.MESHMoyamoya Disease/diagnostic imaging-
dc.subject.MESHMoyamoya Disease/pathology*-
dc.subject.MESHTomography, Emission-Computed, Single-Photon-
dc.titleThe different infarct patterns between adulthood-onset and childhood-onset moyamoya disease-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurology (신경과학)-
dc.contributor.googleauthorH J Cho-
dc.contributor.googleauthorY H Jung-
dc.contributor.googleauthorY D Kim-
dc.contributor.googleauthorH S Nam-
dc.contributor.googleauthorD S Kim-
dc.contributor.googleauthorJ H Heo-
dc.identifier.doi10.1136/jnnp.2009.181487-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04369-
dc.contributor.localIdA00402-
dc.contributor.localIdA00702-
dc.contributor.localIdA01273-
dc.contributor.localIdA03659-
dc.contributor.localIdA03932-
dc.relation.journalcodeJ01628-
dc.identifier.pmid20587492-
dc.identifier.urlhttp://jnnp.bmj.com/content/82/1/38.long-
dc.contributor.alternativeNameHeo, Ji Hoe-
dc.contributor.alternativeNameKim, Dong Seok-
dc.contributor.alternativeNameKim, Young Dae-
dc.contributor.alternativeNameNam, Hyo Suk-
dc.contributor.alternativeNameJung, Yo Han-
dc.contributor.alternativeNameCho, Hyun Ji-
dc.contributor.affiliatedAuthorHeo, Ji Hoe-
dc.contributor.affiliatedAuthorKim, Dong Seok-
dc.contributor.affiliatedAuthorKim, Young Dae-
dc.contributor.affiliatedAuthorNam, Hyo Suk-
dc.contributor.affiliatedAuthorJung, Yo Han-
dc.contributor.affiliatedAuthorCho, Hyun Ji-
dc.rights.accessRightsnot free-
dc.citation.volume82-
dc.citation.number1-
dc.citation.startPage38-
dc.citation.endPage40-
dc.identifier.bibliographicCitationJournal of Neurology, Neurosurgery and Psychiatry, Vol.82(1) : 38-40, 2011-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers

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