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Idiopathic steno-occlusive disease with bilateral internal carotid artery occlusion:A Case Report

World Journal of Clinical Cases 2023年第13期11卷 3076-3085页

作者： Sherifa Ahmed Hamed Hosam Abozaid Yousef Department of Neurology and Psychiatry Assiut UniversityFaculty of MedicineAssiut 71516AssiutEgypt Department of Radiology Assiut UniversityFaculty of MedicineAssiut 71516AssiutEgypt

BACKGROUND Moyamoya disease(MMD)is a rare cause of acute stroke and transient ischemic attacks in *** described clinical,diagnostic features and follow-ups of a young child with acute *** SUMMARY We report a 4-year-old girl with left hemiparesis after an acute ischemic *** history was also significant for repeated left or right focal motor seizures,generalized tonic-clonic convulsions and transient ischemic *** magnetic resonance imaging and computed tomography(CT)of the brain and magnetic resonance angiography,CT angiography and venography on the cerebral vessels revealed evidence of bilateral fronto-parietal ischemic infarctions,occlusion of the right and left internal carotid arteries started at its bifurcation and non-visualization of right and left anterior and middle cerebral *** was evidence of progression in angiography manifested as development of collaterals from the basal perforating vessels,increase in the extent of large intracranial arterial stenosis/occlusion and extensive collateral circulation with predominance from the posterior *** and neurological evaluation and comprehensive laboratory investigations excluded an obvious comorbid disease or risk factor for the child’s *** diagnosis of MMD was highly suggested as a cause of the child’s steno-occlusive *** was treated symptomatically with levetiracetam,an antiepileptic *** was prescribed for secondary *** clinical manifestations were improved during the three years of *** surgery was *** Up to our knowledge,this is the first report for MMD in a child in our *** clinical improvement and the stabilization of the child’s condition over the 3 years of follow-up could be attributed to the rapid and extensive recruitment of collaterals and absence of risk factors or *** surgery is highly recommended.

关键词： steno-occlusive disease Moyamoya disease Internal carotid artery Collateral circulation Neovascularization Case report

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