Ischemic stroke following intracranial hemorrhage from moyamoya disease.

摘要

We read with great interest the article entitled "Ischaemic stroke after acute intracranial hemorrhage in patients with moyamoya disease: six new cases and a short literature review" by Kim et al. [4]. The authors reported six cases of ischemic stroke after intracranial hemorrhage (ICH) from moyamoya disease (MMD), and reviewed the literature. Their review showed that the vast majority of patients (94%) had intraventricular hemorrhages (IVH) without subarach-noid hemorrhage, and revealed that most cerebral infarcts (CI) after ICH from MMD were multiple, large, and cortically involved. The authors suggested that thromboem-bolism or vasospasm might play a role in the pathogenesis of CI after ICH from MMD. We completely agree with the authors' findings and wish to provide further comment.