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.
| Original language | English |
|---|---|
| Pages (from-to) | 1256-1258 |
| Number of pages | 3 |
| Journal | Journal of Stroke and Cerebrovascular Diseases |
| Volume | 23 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Jan 1 2014 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
- Rehabilitation
- Clinical Neurology
- Cardiology and Cardiovascular Medicine
Cite this
Neurologic improvement without angiographic improvement after antithyroid therapy in a patient with moyamoya syndrome. / Ishigami, Akiko; Toyoda, Kazunori; Suzuki, Rieko; Miyashita, Fumio; Iihara, Koji; Minematsu, Kazuo.
In: Journal of Stroke and Cerebrovascular Diseases, Vol. 23, No. 5, 01.01.2014, p. 1256-1258.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Neurologic improvement without angiographic improvement after antithyroid therapy in a patient with moyamoya syndrome
AU - Ishigami, Akiko
AU - Toyoda, Kazunori
AU - Suzuki, Rieko
AU - Miyashita, Fumio
AU - Iihara, Koji
AU - Minematsu, Kazuo
PY - 2014/1/1
Y1 - 2014/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84901375318&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84901375318&partnerID=8YFLogxK
U2 - 10.1016/j.jstrokecerebrovasdis.2013.08.025
DO - 10.1016/j.jstrokecerebrovasdis.2013.08.025
M3 - Article
C2 - 24119625
AN - SCOPUS:84901375318
VL - 23
SP - 1256
EP - 1258
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
SN - 1052-3057
IS - 5
ER -