Hyperventilation-induced limb shaking TIA in Moyamoya disease.
The authors present a case of hyperventilation-induced left upper limb shaking from an underlying Moyamoya disease. Video EEG monitoring and SPECT study were performed. Leptomeningeal collateral circulation was investigated by conventional angiography and by SPECT study with acetazolamide. Limb shaking in Moyamoya disease may result from a transient hypoperfusion of the contralateral frontoparietal cortex rather than basal ganglia.
Kim
H Y
HY
Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Chung
C S
CS
Lee
J
J
Han
D H
DH
Lee
K H
KH
D000086:Acetazolamide; D000328:Adult; D000792:Angiography; D002257:Carbonic Anhydrase Inhibitors; D016893:Carotid Stenosis / Q000150:complications / Q000000981:diagnostic imaging; D003097:Collateral Circulation / Q000187:drug effects; D004569:Electroencephalography; D005625:Frontal Lobe / Q000098:blood supply / Q000503:physiopathology; D006801:Humans; D006985:Hyperventilation / Q000150:complications* / Q000503:physiopathology; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D008297:Male; D008578:Meninges / Q000098:blood supply / Q000000981:diagnostic imaging; D009072:Moyamoya Disease / Q000150:complications* / Q000503:physiopathology; D010296:Parietal Lobe / Q000098:blood supply / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon; D014202:Tremor / Q000209:etiology* / Q000503:physiopathology; D034941:Upper Extremity / Q000503:physiopathology
D002257:Carbonic Anhydrase Inhibitors; D000086:Acetazolamide