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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Authors | Akiko Ishigami, Kazunori Toyoda, Rieko Suzuki, Fumio Miyashita, Koji Iihara, Kazuo Minematsu |
Journal | Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
(J Stroke Cerebrovasc Dis)
2014 May-Jun
Vol. 23
Issue 5
Pg. 1256-8
ISSN: 1532-8511 [Electronic] United States |
PMID | 24119625
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved. |
Chemical References |
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Topics |
- Antithyroid Agents
(therapeutic use)
- Cerebral Angiography
- Cerebrovascular Circulation
- Collateral Circulation
- Diffusion Magnetic Resonance Imaging
- Female
- Graves Disease
(diagnosis, drug therapy, etiology, physiopathology)
- Humans
- Infarction, Middle Cerebral Artery
(diagnosis, drug therapy, etiology, physiopathology)
- Moyamoya Disease
(complications, diagnosis, drug therapy, physiopathology)
- Neovascularization, Physiologic
- Perfusion Imaging
(methods)
- Positron-Emission Tomography
- Recovery of Function
- Treatment Outcome
- Young Adult
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