[Moyamoya disease associated with stenosis of extracranial arteries: a case report and review of the literature].
We report on a 6-year-old boy with a 2.5-year history of recurrent cerebral ischemic strokes and moderate systemic hypertension. Brain angio-MR examination revealed stenosis of cerebral arteries with a network of collateral vessels that are characteristic features for moyamoya disease. However, further examination, including angio-CT of abdominal vessels, revealed a significant stenosis of the aorta, celiac trunk and bilateral renal arteries. As the literature shows worse prognosis for moyamoya hypertensive patients having their blood pressure reduced, our patient, though hypertensive, remains disqualified for blood pressure reduction.
Kaczorowska
Magdalena
M
Klinika Neurologii i Epileptologii, IP-CZD w Warszawie.
Jóźwiak
Sergiusz
S
Litwin
Mieczysław
M
Kmieć
Tomasz
T
Kuczyński
Dariusz
D
Jurkiewicz
Elzbieta
E
Kościerza
Iwona
I
D001012:Aorta, Abdominal / Q000000981:diagnostic imaging; D002545:Brain Ischemia / Q000209:etiology; D002533:Cerebral Angiography; D002648:Child; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology; D018810:Magnetic Resonance Angiography; D008297:Male; D009072:Moyamoya Disease / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology*; D012077:Renal Artery / Q000000981:diagnostic imaging; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*; D020521:Stroke / Q000209:etiology; D014057:Tomography, X-Ray Computed