| Dramatic disappearance of moyamoya disease-induced chorea after indirect bypass surgery. | |
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MedLine Citation:
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PMID: 18812680 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 31-year-old woman with moyamoya disease presented with choreiform movements persisting for 4.5 years. Magnetic resonance imaging showed a fine vascular plexus in the base of the brain but no parenchymal brain damage. Cerebral angiography revealed intracranial vascular abnormalities compatible with moyamoya disease. Single photon emission computed tomography with N-isopropyl-p-(123)I-iodoamphetamine showed definite reduction of the regional cerebral blood flow (rCBF) in the bilateral striata and frontotemporoparietal cortex. rCBF study with acetazolamide administration indicated marked decrease of rCBF reserve in those regions. She underwent indirect bypass surgery (encephalo-duro-arterio-myo-synangiosis) under a diagnosis of moyamoya disease. The choreic involuntary movements disappeared shortly after surgery. Postoperative angiography showed neovascularization in the extracranial to intracranial direction, associated with dramatic increase in rCBF in the involved regions. |
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Authors:
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Koji Kamijo; Toru Matsui |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurologia medico-chirurgica Volume: 48 ISSN: 1349-8029 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-09-24 Completed Date: 2008-12-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: Japan |
Other Details:
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Languages: eng Pagination: 390-3 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan. kamijo@saitama-med.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Brain / blood supply, physiopathology* Cerebral Angiography Cerebral Revascularization / methods* Chorea / etiology, physiopathology, therapy* Female Humans Moyamoya Disease / complications, physiopathology, surgery* Regional Blood Flow / physiology Remission, Spontaneous Tomography, Emission-Computed, Single-Photon Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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