Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation
A previously healthy, 3-year-old boy presented to the emergency department with an afebrile focal motor seizure. He was found crying and having a seizure 30 minutes earlier. During this seizure, he was jerking his head and right extremities. Subsequent magnetic resonance imaging showed acute infarct...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Pediatric Emergency Medicine
2018-06-01
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| Series: | Pediatric Emergency Medicine Journal |
| Subjects: | |
| Online Access: | http://pemj.org/upload/pdf/pemj-2018-00199.pdf |
| _version_ | 1797852226836758528 |
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| author | Soojin Hwang Jung Heon Kim Hee Mang Yoon Mi-Sun Yum |
| author_facet | Soojin Hwang Jung Heon Kim Hee Mang Yoon Mi-Sun Yum |
| author_sort | Soojin Hwang |
| collection | DOAJ |
| description | A previously healthy, 3-year-old boy presented to the emergency department with an afebrile focal motor seizure. He was found crying and having a seizure 30 minutes earlier. During this seizure, he was jerking his head and right extremities. Subsequent magnetic resonance imaging showed acute infarction in the bilateral frontal lobes, chiefly in the left. After hospitalization, conventional angiography demonstrated bilateral stenosis of the distal internal carotid arteries with development of lenticulostriate collaterals, which confirmed the diagnosis of moyamoya disease. It is vital to recognize focal motor seizures and situations related to hyperventilation in children with a seizure, which imply a structural lesion and a provoked cerebral ischemia in preexisting moyamoya disease, respectively. |
| first_indexed | 2024-04-09T19:30:41Z |
| format | Article |
| id | doaj.art-1e0a835044ab4fe6a8498644e9a918b5 |
| institution | Directory Open Access Journal |
| issn | 2383-4897 2508-5506 |
| language | English |
| last_indexed | 2024-04-09T19:30:41Z |
| publishDate | 2018-06-01 |
| publisher | Korean Society of Pediatric Emergency Medicine |
| record_format | Article |
| series | Pediatric Emergency Medicine Journal |
| spelling | doaj.art-1e0a835044ab4fe6a8498644e9a918b52023-04-04T23:44:14ZengKorean Society of Pediatric Emergency MedicinePediatric Emergency Medicine Journal2383-48972508-55062018-06-0151252910.22470/pemj.2018.0019962Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilationSoojin Hwang0Jung Heon Kim1Hee Mang Yoon2Mi-Sun Yum3Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Emergency Medicine, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KorDepartment of Radiology and Research Institute of Radiology, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KoreaDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, KoreaA previously healthy, 3-year-old boy presented to the emergency department with an afebrile focal motor seizure. He was found crying and having a seizure 30 minutes earlier. During this seizure, he was jerking his head and right extremities. Subsequent magnetic resonance imaging showed acute infarction in the bilateral frontal lobes, chiefly in the left. After hospitalization, conventional angiography demonstrated bilateral stenosis of the distal internal carotid arteries with development of lenticulostriate collaterals, which confirmed the diagnosis of moyamoya disease. It is vital to recognize focal motor seizures and situations related to hyperventilation in children with a seizure, which imply a structural lesion and a provoked cerebral ischemia in preexisting moyamoya disease, respectively.http://pemj.org/upload/pdf/pemj-2018-00199.pdfangiographyemergencieshyperventilationischemiamoyamoya diseaseseizuresstrokevasoconstriction |
| spellingShingle | Soojin Hwang Jung Heon Kim Hee Mang Yoon Mi-Sun Yum Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation Pediatric Emergency Medicine Journal angiography emergencies hyperventilation ischemia moyamoya disease seizures stroke vasoconstriction |
| title | Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation |
| title_full | Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation |
| title_fullStr | Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation |
| title_full_unstemmed | Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation |
| title_short | Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation |
| title_sort | moyamoya disease in a 3 year old boy presenting with a focal motor seizure provoked by hyperventilation |
| topic | angiography emergencies hyperventilation ischemia moyamoya disease seizures stroke vasoconstriction |
| url | http://pemj.org/upload/pdf/pemj-2018-00199.pdf |
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