Ilyayeva E, Nada K, Farahi Far R, Albright K, Gujral MK, Gold M. Bilateral Cerebrovascular Stroke as an Initial Presenting Symptom of Moyamoya Disease.
Case Rep Crit Care 2018;
2018:2591494. [PMID:
30538867 PMCID:
PMC6260547 DOI:
10.1155/2018/2591494]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 10/16/2018] [Accepted: 10/29/2018] [Indexed: 11/17/2022] Open
Abstract
Moyamoya disease is a rare condition affecting the circle of Willis and its branching arteries. While the pathogenesis is unclear, it causes progressive occlusion of multiple cerebral vessels leading to severe strokes. We report a case of a 47-year-old Hispanic woman with HTN presented with altered mental status and bilateral upper and lower extremity weakness with dystonic-like upper extremity movement. Serial brain CTs and angiography were performed which showed massive frontal and parietal cerebral infarcts with radiological evidence of moyamoya disease.
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