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Moyamoya syndrome in a known case of pulmonary tuberculosis.
MedLine Citation:
PMID:  21808515     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We report an unusual association of pulmonary tuberculosis with moyamoya syndrome in a 30-year-old Filipino female who was admitted to our hospital with a 1-week history of fever and cough. Chest X-ray showed widespread bilateral consolidation with cavity, whereas sputum was positive for acid fast bacilli (AFB). Two weeks after starting antituberculous treatment, the patient developed two episodes of loss of consciousness, which were unwitnessed. Urgent brain computed tomography (CT) showed multiple infarctions, suggesting vasculitis. The electroencephalogram showed epileptic discharges. Magnetic resonance angiography showed a picture consistent with moyamoya disease. Brain CT angiography was performed and it showed the same pictures. The patient was diagnosed with pulmonary tuberculosis-associated moyamoya syndrome. On the following days, she was discharged on antituberculous medications, antiepileptic and oral hypoglycemic treatment. After 1 year, the patient was seen in the clinic, she was well and seizure-free.
Authors:
Fahmi Yousef Khan; Hussain Kamal; Rania Musa; Ahmed Hayati
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosciences in rural practice     Volume:  1     ISSN:  0976-3155     ISO Abbreviation:  J Neurosci Rural Pract     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2011-08-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101533710     Medline TA:  J Neurosci Rural Pract     Country:  India    
Other Details:
Languages:  eng     Pagination:  105-8     Citation Subset:  -    
Affiliation:
Department of Medicine, Hamad Medical Corporation, Hamad General Hospital, PO Box 3050, Doha, Qatar.
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