| Sudden cortical blindness in an adult with moyamoya disease. | |
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MedLine Citation:
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PMID: 17320646 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We report a case of an adult with MMD who presented initially with left visual field defect that had suddenly progressed to bilateral cortical blindness 1 year and 9 months later. CASE DESCRIPTION: A 33-year-old male presented with visual blurring and mild right hemiparesis that developed suddenly. He was regarded as having MMD based on an imaging study. An inverted encephalodurogaleosynangiosis using the left occipital artery and inverted encephaloduroarteriogaleosynangiosis with the parietal branch of the superficial temporal artery were done. The postoperative course was uneventful and without any complication. Several months later, he visited again because of sudden bilateral blindness preceded by repeated transient blindness in both eyes for 4 days. The right posterior temporal artery, which was well visualized at the time of the first postoperative follow-up angiography, was no longer seen on repeated 4-vessel angiography. Biochemical analysis including prothrombin and thrombin time, activated partial thromboplastin time, fibrinogen, d-dimer, plasminogen, antithrombin, platelet, protein C and S, lupus anticoagulant, and cardiolipin antibodies; VDRL was within the reference range. CONCLUSION: The authors suggest abnormal thromboembolism as a presumed mechanism of the pathogenesis of MMD in this patient. |
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Authors:
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Dal-Soo Kim; Seok-Gu Kang; Do-Sung Yoo; Pil-Woo Huh; Kyoung-Suok Cho; Moon-Chan Kim |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-10-09 |
Journal Detail:
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Title: Surgical neurology Volume: 67 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-02-26 Completed Date: 2007-04-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 303-7 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, The Catholic University of Korea College of Medicine, Uijeongbu St. Mary's Hospital, Uijeongbu, Gyeonggi 480-130, Republic of Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Blindness, Cortical / complications*, diagnosis* Frontal Lobe / pathology, radiography, radionuclide imaging Humans Intracranial Embolism / diagnosis, etiology* Magnetic Resonance Angiography Magnetic Resonance Imaging Male Moyamoya Disease / complications*, diagnosis* Paresis / diagnosis, etiology Radiopharmaceuticals / diagnostic use Technetium Tc 99m Exametazime / diagnostic use Tomography, Emission-Computed, Single-Photon Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 100504-35-6/Technetium Tc 99m Exametazime |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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