CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2022; 6(01): 61-63
DOI: 10.1055/s-0041-1729465
Case Report

Atypical Moyamoya Disease Associated with Midaortic Syndrome

1   PDCC Neuroradiology, Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Vivek Singh
2   Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Chandradev Sahu
3   Department of Radiodiagnosis, Pt. Jawahar Lal Nehru Memorial Medical College, Raipur, Chhattisgarh, India
› Institutsangaben

Abstract

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.



Publikationsverlauf

Artikel online veröffentlicht:
29. April 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 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 Korematsu. 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