Moyamoya Disease May Mimic Multiple Sclerosis?
Joint Authors
Kilidireas, Constantinos
Spanou, Ioanna
Velonakis, Georgios
Logiotatos, Nikolaos
Chatziioannou, Achilleas
Vassilopoulou, Sophia
Potagas, Constantin
Evangelopoulos, Maria-Eleftheria
Source
Case Reports in Neurological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-02
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
A wide range of medical conditions may mimic multiple sclerosis.
Among them, cerebrovascular diseases, including moyamoya disease, need to be excluded since they share common clinical features and radiographic findings with multiple sclerosis.
Case Report.
A 44-year-old woman experienced transient numbness of her right sided face and arm and was referred to our unit due to small brain lesions in magnetic resonance imaging, with a possible diagnosis of multiple sclerosis.
Neurological examination was unremarkable except for plantar reflexes and jerky deep tendon reflexes.
Brain magnetic resonance angiography revealed findings typically seen in moyamoya disease, confirmed with digital subtraction angiography.
Antiplatelet therapy started, but few days later, she developed suddenly global aphasia and right hemiparesis (National Institutes of Health Stroke Scale/NIHSS 6).
Brain magnetic resonance imaging revealed acute infarct in the distribution of the left middle cerebral artery.
At her discharge, she was significantly improved (NIHSS 3).
Conclusion.
Diagnosis of multiple sclerosis is often challenging.
In particular, in young patients with transient neurological symptoms and atypical white matter lesions in magnetic resonance imaging, cerebrovascular disorders such as moyamoya disease should be considered in the differential diagnosis.
Detailed clinical and neuroimaging evaluation are mandatory for the correct diagnosis.
American Psychological Association (APA)
Spanou, Ioanna& Evangelopoulos, Maria-Eleftheria& Velonakis, Georgios& Logiotatos, Nikolaos& Chatziioannou, Achilleas& Potagas, Constantin…[et al.]. 2019. Moyamoya Disease May Mimic Multiple Sclerosis?. Case Reports in Neurological Medicine،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1141266
Modern Language Association (MLA)
Spanou, Ioanna…[et al.]. Moyamoya Disease May Mimic Multiple Sclerosis?. Case Reports in Neurological Medicine No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1141266
American Medical Association (AMA)
Spanou, Ioanna& Evangelopoulos, Maria-Eleftheria& Velonakis, Georgios& Logiotatos, Nikolaos& Chatziioannou, Achilleas& Potagas, Constantin…[et al.]. Moyamoya Disease May Mimic Multiple Sclerosis?. Case Reports in Neurological Medicine. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1141266
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141266