Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease
Moyamoya disease is a condition of the cerebrovascular system that involves stenosis of the intracranial internal carotid arteries as well as their proximal branches, often leading to stroke in affected patients. Here we describe the case of a patient with headache and focal neurologic signs followi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-12-01
|
| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751914000309 |
| _version_ | 1818158797380648960 |
|---|---|
| author | Bilal A. Siddiqui, A.B. Vikram Jairam, B.S. Michele H. Johnson, M.D. David M. Greer, M.D., M.A., F.C.C.M., F.A.H.A. |
| author_facet | Bilal A. Siddiqui, A.B. Vikram Jairam, B.S. Michele H. Johnson, M.D. David M. Greer, M.D., M.A., F.C.C.M., F.A.H.A. |
| author_sort | Bilal A. Siddiqui, A.B. |
| collection | DOAJ |
| description | Moyamoya disease is a condition of the cerebrovascular system that involves stenosis of the intracranial internal carotid arteries as well as their proximal branches, often leading to stroke in affected patients. Here we describe the case of a patient with headache and focal neurologic signs following exposure to a spicy aroma, who initially had a negative vascular work-up and a preliminary diagnosis of a complex migraine syndrome. She subsequently developed infarction of the left frontal lobe, and imaging studies revealed the diagnosis of moyamoya disease. She was treated with an encephalodurosynangiosis procedure, with notable improvement. This case highlights the importance of considering moyamoya disease in the differential diagnosis of patients presenting with headaches with aura. |
| first_indexed | 2024-12-11T15:35:48Z |
| format | Article |
| id | doaj.art-88a6200f86bd436aa1dfd965dbe1a5ea |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-11T15:35:48Z |
| publishDate | 2014-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-88a6200f86bd436aa1dfd965dbe1a5ea2022-12-22T00:59:56ZengElsevierInterdisciplinary Neurosurgery2214-75192014-12-0114818310.1016/j.inat.2014.07.001Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya diseaseBilal A. Siddiqui, A.B.0Vikram Jairam, B.S.1Michele H. Johnson, M.D.2David M. Greer, M.D., M.A., F.C.C.M., F.A.H.A.3Department of Neurology, Yale School of Medicine, New Haven, CTDepartment of Neurology, Yale School of Medicine, New Haven, CTDepartment of Diagnostic Radiology, Yale School of Medicine, New Haven, CTDepartment of Neurology, Yale School of Medicine, New Haven, CTMoyamoya disease is a condition of the cerebrovascular system that involves stenosis of the intracranial internal carotid arteries as well as their proximal branches, often leading to stroke in affected patients. Here we describe the case of a patient with headache and focal neurologic signs following exposure to a spicy aroma, who initially had a negative vascular work-up and a preliminary diagnosis of a complex migraine syndrome. She subsequently developed infarction of the left frontal lobe, and imaging studies revealed the diagnosis of moyamoya disease. She was treated with an encephalodurosynangiosis procedure, with notable improvement. This case highlights the importance of considering moyamoya disease in the differential diagnosis of patients presenting with headaches with aura.http://www.sciencedirect.com/science/article/pii/S2214751914000309Moyamoya diseaseAngiographyHeadacheMagnetic resonance imagingStroke |
| spellingShingle | Bilal A. Siddiqui, A.B. Vikram Jairam, B.S. Michele H. Johnson, M.D. David M. Greer, M.D., M.A., F.C.C.M., F.A.H.A. Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease Interdisciplinary Neurosurgery Moyamoya disease Angiography Headache Magnetic resonance imaging Stroke |
| title | Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease |
| title_full | Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease |
| title_fullStr | Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease |
| title_full_unstemmed | Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease |
| title_short | Headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease |
| title_sort | headache and focal neurologic signs following exposure to spicy aroma as an initial presentation of moyamoya disease |
| topic | Moyamoya disease Angiography Headache Magnetic resonance imaging Stroke |
| url | http://www.sciencedirect.com/science/article/pii/S2214751914000309 |
| work_keys_str_mv | AT bilalasiddiquiab headacheandfocalneurologicsignsfollowingexposuretospicyaromaasaninitialpresentationofmoyamoyadisease AT vikramjairambs headacheandfocalneurologicsignsfollowingexposuretospicyaromaasaninitialpresentationofmoyamoyadisease AT michelehjohnsonmd headacheandfocalneurologicsignsfollowingexposuretospicyaromaasaninitialpresentationofmoyamoyadisease AT davidmgreermdmafccmfaha headacheandfocalneurologicsignsfollowingexposuretospicyaromaasaninitialpresentationofmoyamoyadisease |