Moyamoya disease in which pentazocine treatment caused cerebral infarction.

Yoshinori Matsuoka, Makoto Hashizume

研究成果: ジャーナルへの寄稿記事

抄録

A 37-year-old man was admitted to hospital for treatment of perineum damage and haematoma in the scrotum. His consciousness deteriorated after two intramuscular injections of pentazocine 15 mg. Faint low signals in the left putamin to frontal island and frontal lobe and obnubilation of the corticomedullary junction were apparent on head CT, which led to suspicion of cerebral infarction. MR angiography showed bilateral obstruction of the middle cerebral artery and moyamoya disease was diagnosed. Treatment with edaravone, argatroban and heparin was ineffective for opening the middle cerebral artery and serious after effects occurred. This case suggests that cerebrovascular accident should be suspected in a young patient with disturbance of consciousness but stable breathing and circulation, particularly if previous drug treatment has affected brain circulation. Moyamoya disease should be suspected based on medical or family history. In such a case, MR angiography is required for early diagnosis to facilitate treatment by re-establishment of blood circulation.

元の言語英語
ジャーナルBMJ case reports
2010
出版物ステータス出版済み - 2010

Fingerprint

Moyamoya Disease
Pentazocine
Cerebral Infarction
Middle Cerebral Artery
Consciousness
Angiography
Cerebral Arterial Diseases
Medical History Taking
Perineum
Scrotum
Blood Circulation
Intramuscular Injections
Frontal Lobe
Therapeutics
Islands
Hematoma
Heparin
Early Diagnosis
Respiration
Stroke

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Moyamoya disease in which pentazocine treatment caused cerebral infarction. / Matsuoka, Yoshinori; Hashizume, Makoto.

:: BMJ case reports, 巻 2010, 2010.

研究成果: ジャーナルへの寄稿記事

Matsuoka, Yoshinori ; Hashizume, Makoto. / Moyamoya disease in which pentazocine treatment caused cerebral infarction. :: BMJ case reports. 2010 ; 巻 2010.
@article{1cb5cb2359eb4c0faf91d18c212eaf8e,
title = "Moyamoya disease in which pentazocine treatment caused cerebral infarction.",
abstract = "A 37-year-old man was admitted to hospital for treatment of perineum damage and haematoma in the scrotum. His consciousness deteriorated after two intramuscular injections of pentazocine 15 mg. Faint low signals in the left putamin to frontal island and frontal lobe and obnubilation of the corticomedullary junction were apparent on head CT, which led to suspicion of cerebral infarction. MR angiography showed bilateral obstruction of the middle cerebral artery and moyamoya disease was diagnosed. Treatment with edaravone, argatroban and heparin was ineffective for opening the middle cerebral artery and serious after effects occurred. This case suggests that cerebrovascular accident should be suspected in a young patient with disturbance of consciousness but stable breathing and circulation, particularly if previous drug treatment has affected brain circulation. Moyamoya disease should be suspected based on medical or family history. In such a case, MR angiography is required for early diagnosis to facilitate treatment by re-establishment of blood circulation.",
author = "Yoshinori Matsuoka and Makoto Hashizume",
year = "2010",
language = "English",
volume = "2010",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Moyamoya disease in which pentazocine treatment caused cerebral infarction.

AU - Matsuoka, Yoshinori

AU - Hashizume, Makoto

PY - 2010

Y1 - 2010

N2 - A 37-year-old man was admitted to hospital for treatment of perineum damage and haematoma in the scrotum. His consciousness deteriorated after two intramuscular injections of pentazocine 15 mg. Faint low signals in the left putamin to frontal island and frontal lobe and obnubilation of the corticomedullary junction were apparent on head CT, which led to suspicion of cerebral infarction. MR angiography showed bilateral obstruction of the middle cerebral artery and moyamoya disease was diagnosed. Treatment with edaravone, argatroban and heparin was ineffective for opening the middle cerebral artery and serious after effects occurred. This case suggests that cerebrovascular accident should be suspected in a young patient with disturbance of consciousness but stable breathing and circulation, particularly if previous drug treatment has affected brain circulation. Moyamoya disease should be suspected based on medical or family history. In such a case, MR angiography is required for early diagnosis to facilitate treatment by re-establishment of blood circulation.

AB - A 37-year-old man was admitted to hospital for treatment of perineum damage and haematoma in the scrotum. His consciousness deteriorated after two intramuscular injections of pentazocine 15 mg. Faint low signals in the left putamin to frontal island and frontal lobe and obnubilation of the corticomedullary junction were apparent on head CT, which led to suspicion of cerebral infarction. MR angiography showed bilateral obstruction of the middle cerebral artery and moyamoya disease was diagnosed. Treatment with edaravone, argatroban and heparin was ineffective for opening the middle cerebral artery and serious after effects occurred. This case suggests that cerebrovascular accident should be suspected in a young patient with disturbance of consciousness but stable breathing and circulation, particularly if previous drug treatment has affected brain circulation. Moyamoya disease should be suspected based on medical or family history. In such a case, MR angiography is required for early diagnosis to facilitate treatment by re-establishment of blood circulation.

UR - http://www.scopus.com/inward/record.url?scp=84883197802&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84883197802&partnerID=8YFLogxK

M3 - Article

C2 - 22789553

AN - SCOPUS:84883197802

VL - 2010

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

ER -