Atypical Moyamoya Disease Associated with Midaortic Syndrome
We report a case of a 4-year-old boy who presented with moyamoya disease associated with midaortic syndrome. He had been treated for severe persistent hypertension until he suffered multiple episodes of seizure and cerebral ischemic attack. Cerebral angiography showed bilateral terminal internal carotid artery stenosis. Angiographic survey showed severe stenosis of abdominal aorta and bilateral proximal renal arteries. This is a very rare report of moyamoya disease with midaortic syndrome.
29. April 2021 (online)
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- 1 Osamu T, Futoshi M, Takashi Y. et al. Prevalence of stenoocclusive lesions in the renal and abdominal arteries in moyamoya disease. AJR 2004; 183: 119-122
- 2 Uchikawa H, Fujii K, Fujita M, Okunushi T, Shimojo N. Atypical moyamoya syndrome with brain calcification and stenosis of abdominal aorta and renal arteries. Brain Dev 2017; 39: 710-713
- 3 Kore matsu. et al. Moyamoya disease associated with midaortic syndrome. Pediatr Neurosurg 2007; 43: 54-59
- 4 Guey S, Tournier-Lasserve E, Hervé D, Kossorotoff M. Moyamoya disease and syndromes: from genetics to clinical management. Appl Clin Genet 2015; 8: 49-68
- 5 Milewicz DM, Østergaard JR, Ala-Kokko LM. et al. De novo ACTA2 mutation causes a novel syndrome of multisystemic smooth muscle dysfunction. Am J Med Genet A 2010; 152A (10) 2437-2443
- 6 Graham LM, Zelenock GB, Erlandson EE, Coran AG, Lindenauer SM, Stanley JC. Abdominal aortic coarctation and segmental hypoplasia. Surgery 1979; 86 (04) 519-529
- 7 O’Neill Jr JA, Berkowitz H, Fellows KJ, Harmon CM. Midaortic syndrome and hypertension in childhood. J Pediatr Surg 1995; 30 (02) 164-171, discussion 171–172