Treatment of Moyamoya Syndrome Associated with Systemic Lupus Erythematosus and Hypothyroidism in an Adult by Encephaloduroarteriosynangiosis : A Case Report
Joint Authors
Tomiyama, Arata
Saito, Norihiko
Ito, Keisuke
Sakurai, Takatoshi
Iwabuchi, Satoshi
Aoki, Kazuya
Izukura, Hideaki
Kimura, Hitoshi
Sato, Ken-ichiro
Harashina, Jun-ichi
Hirata, Yoko
Nakayama, Haruo
Hayashi, Morito
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-26
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 54-year-old woman presented to our hospital with progressive motor weakness of the right arm.
She had a medical history of systemic lupus erythematosus (SLE) and hypothyroidism.
Magnetic resonance imaging indicated a watershed infarction of the left hemisphere.
Cervical echogram indicated severe stenosis of the internal carotid artery (ICA) without wall thickening.
Cerebral angiography indicated left ICA occlusion, development of unilateral moyamoya vessels, and leptomeningeal anastomosis.
Encephaloduroarteriosynangiosis (EDAS) was performed after cerebral T99mechnetium-ethyl-cysteinate-dimer single-photon emission computed tomography indicated a decreased cerebral blood flow, diminished cerebrovascular perfusion reserve.
Motor weakness finally disappeared 6 months after surgery.
Moyamoya syndrome is a rare complication of both SLE and hypothyroidism, and the surgical indication remains controversial.
By evaluating the decreased cerebral perfusion reserve capacity and the existence of leptomeningeal anastomosis, EDAS could be an efficient method for the treatment of moyamoya syndrome associated with SLE and hypothyroidism.
American Psychological Association (APA)
Tomiyama, Arata& Kimura, Hitoshi& Nakayama, Haruo& Izukura, Hideaki& Harashina, Jun-ichi& Ito, Keisuke…[et al.]. 2012. Treatment of Moyamoya Syndrome Associated with Systemic Lupus Erythematosus and Hypothyroidism in an Adult by Encephaloduroarteriosynangiosis : A Case Report. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-447283
Modern Language Association (MLA)
Tomiyama, Arata…[et al.]. Treatment of Moyamoya Syndrome Associated with Systemic Lupus Erythematosus and Hypothyroidism in an Adult by Encephaloduroarteriosynangiosis : A Case Report. Case Reports in Medicine No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-447283
American Medical Association (AMA)
Tomiyama, Arata& Kimura, Hitoshi& Nakayama, Haruo& Izukura, Hideaki& Harashina, Jun-ichi& Ito, Keisuke…[et al.]. Treatment of Moyamoya Syndrome Associated with Systemic Lupus Erythematosus and Hypothyroidism in an Adult by Encephaloduroarteriosynangiosis : A Case Report. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-447283
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-447283