Neurologic improvement without angiographic improvement after antithyroid therapy in a patient with Moyamoya syndrome.
J Stroke Cerebrovasc Dis
; 23(5): 1256-8, 2014.
Article
em En
| MEDLINE
| ID: mdl-24119625
ABSTRACT
Moyamoya disease with special complications, including Graves' disease, is called as moyamoya syndrome. A 22-year-old Japanese woman had left middle cerebral artery (MCA) territory infarction complicated with Graves' disease. She had right-sided hemiparesis that deteriorated on day 8 with the infarct growth and thyrotoxicosis. On angiogram, the left MCA was occluded at the origin without moyamoya vessels. Positron emission tomography (PET) revealed misery-perfusion phenomenon in the left MCA territory. After initiation of the antithyroid therapy, her hemiparesis became milder. Seventeen months later, her thyroid function was normalized and net-like collateral moyamoya vessels proliferated in the left MCA territory. Misery-perfusion phenomenon persisted on PET. This report is unique in the point of neurologic recovery of the moyamoya patient right after initiation of antithyroid medication without radiological improvement.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Antitireóideos
/
Doença de Graves
/
Infarto da Artéria Cerebral Média
/
Doença de Moyamoya
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
Limite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Assunto da revista:
ANGIOLOGIA
/
CEREBRO
Ano de publicação:
2014
Tipo de documento:
Article