A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization
Isolated middle cerebral artery (MCA) stenosis in young patients with no other medical condition may be a unique pathologic entity with a benign long-term course. Generally, moyamoya disease shows a progression of stenosis from internal cerebral artery (ICA) to other intracranial vessel. A 26-year-o...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Movement Disorder Society
2013-05-01
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| Series: | Journal of Movement Disorders |
| Subjects: | |
| Online Access: | http://e-jmd.org/upload/jmd-6-1-13-3.pdf |
| _version_ | 1797758995965935616 |
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| author | Seok Jong Chung Hyung Seok Lee Han Soo Yoo Kyung Min Kim Ki Jeong Lee Jong-Soo Kim Jae-Wook Lee Jong Hun Kim Jeong Hee Cho Gyu Sik Kim Jun Hong Lee Sun-Ah Choi |
| author_facet | Seok Jong Chung Hyung Seok Lee Han Soo Yoo Kyung Min Kim Ki Jeong Lee Jong-Soo Kim Jae-Wook Lee Jong Hun Kim Jeong Hee Cho Gyu Sik Kim Jun Hong Lee Sun-Ah Choi |
| author_sort | Seok Jong Chung |
| collection | DOAJ |
| description | Isolated middle cerebral artery (MCA) stenosis in young patients with no other medical condition may be a unique pathologic entity with a benign long-term course. Generally, moyamoya disease shows a progression of stenosis from internal cerebral artery (ICA) to other intracranial vessel. A 26-year-old woman was admitted for choreic movements of the right arm and leg. Brain magnetic resonance imaging showed no stroke. Conventional angiography revealed 48% stenosis of the left M1 without ICA stenosis. Single photon emission computed tomography revealed perfusion asymmetry after acetazolamide injection, suggesting decreased uptake in the left basal ganglia and the cerebral cortex. Her hemichorea was mildly decreased with risperidone. One year later, follow-up angiography showed complete occlusion of the left M1 with neovascularization suggestive of moyamoya disease. The patient underwent bypass surgery and her hemichorea disappeared. This may be an atypical presentation of moyamoya disease. The bypass surgery was an effective measure for restoring the vascular insufficiency and, resultantly, controlling her hemichorea. |
| first_indexed | 2024-03-12T18:38:03Z |
| format | Article |
| id | doaj.art-a2b70d7c4e604f429a329cbf41f05fad |
| institution | Directory Open Access Journal |
| issn | 2005-940X 2093-4939 |
| language | English |
| last_indexed | 2024-03-12T18:38:03Z |
| publishDate | 2013-05-01 |
| publisher | Korean Movement Disorder Society |
| record_format | Article |
| series | Journal of Movement Disorders |
| spelling | doaj.art-a2b70d7c4e604f429a329cbf41f05fad2023-08-02T07:55:38ZengKorean Movement Disorder SocietyJournal of Movement Disorders2005-940X2093-49392013-05-0161131610.14802/jmd.130032A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern CollateralizationSeok Jong ChungHyung Seok LeeHan Soo YooKyung Min KimKi Jeong LeeJong-Soo KimJae-Wook LeeJong Hun KimJeong Hee ChoGyu Sik KimJun Hong LeeSun-Ah ChoiIsolated middle cerebral artery (MCA) stenosis in young patients with no other medical condition may be a unique pathologic entity with a benign long-term course. Generally, moyamoya disease shows a progression of stenosis from internal cerebral artery (ICA) to other intracranial vessel. A 26-year-old woman was admitted for choreic movements of the right arm and leg. Brain magnetic resonance imaging showed no stroke. Conventional angiography revealed 48% stenosis of the left M1 without ICA stenosis. Single photon emission computed tomography revealed perfusion asymmetry after acetazolamide injection, suggesting decreased uptake in the left basal ganglia and the cerebral cortex. Her hemichorea was mildly decreased with risperidone. One year later, follow-up angiography showed complete occlusion of the left M1 with neovascularization suggestive of moyamoya disease. The patient underwent bypass surgery and her hemichorea disappeared. This may be an atypical presentation of moyamoya disease. The bypass surgery was an effective measure for restoring the vascular insufficiency and, resultantly, controlling her hemichorea.http://e-jmd.org/upload/jmd-6-1-13-3.pdfMiddle cerebral artery stenosisHemichoreaMoyamoya |
| spellingShingle | Seok Jong Chung Hyung Seok Lee Han Soo Yoo Kyung Min Kim Ki Jeong Lee Jong-Soo Kim Jae-Wook Lee Jong Hun Kim Jeong Hee Cho Gyu Sik Kim Jun Hong Lee Sun-Ah Choi A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization Journal of Movement Disorders Middle cerebral artery stenosis Hemichorea Moyamoya |
| title | A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization |
| title_full | A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization |
| title_fullStr | A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization |
| title_full_unstemmed | A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization |
| title_short | A Case of Isolated Middle Cerebral Artery Stenosis with Hemichorea and Moyamoya Pattern Collateralization |
| title_sort | case of isolated middle cerebral artery stenosis with hemichorea and moyamoya pattern collateralization |
| topic | Middle cerebral artery stenosis Hemichorea Moyamoya |
| url | http://e-jmd.org/upload/jmd-6-1-13-3.pdf |
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