keyword
https://read.qxmd.com/read/38445131/moyamoya-syndrome-differential-diagnosis-in-patients-with-central-nervous-system-symptoms-and-hyperthyroidism
#1
Yosuke Maezawa, Kazuya Nagasaki, Hitoshi Aiyama, Yuki Yamamoto, Yasushi Shibata
Moyamoya syndrome, known as secondary moyamoya disease, is associated with various primary illnesses, such as brain tumor, meningitis, autoimmune disease, and thyrotoxicosis, and their relations are not clear. We report a rare case of moyamoya syndrome in a patient with Graves' disease. An 18-year-old woman was admitted to our hospital due to convulsions. She had symptoms of palpitations and fatiguability for half a year and transient numbness in her left upper extremity and dysarthria for a month. In physical findings, tachycardia and diffuse thyroid swelling were noted...
February 2024: Curēus
https://read.qxmd.com/read/38267055/long-term-outcomes-of-combined-revascularization-surgery-for-moyamoya-disease-in-the-elderly-a-single-institute-experience
#2
JOURNAL ARTICLE
Kota Kurisu, Masaki Ito, Haruto Uchino, Taku Sugiyama, Miki Fujimura
The opportunity to treat older patients with Moyamoya disease (MMD) is increasing. However, the surgical outcomes after combined direct and indirect revascularization for elderly patients with MMD are not fully understood, especially for those ≥60 years old. This retrospective study examined 232 consecutive hemispheres of 165 adults with MMD who underwent combined revascularization. Clinical features and surgical outcomes were compared between the elderly (≥60 years) and nonelderly group (<60 years)...
January 24, 2024: Neurologia Medico-chirurgica
https://read.qxmd.com/read/37456632/case-report-steroid-responsive-acute-chorea-as-first-presentation-of-the-coexistence-of-moyamoya-and-graves-disease
#3
Wei-Sheng Wang, Shey-Lin Wu, Wei-Chieh Chan, Yen-Chung Chen
BACKGROUND: Chorea is a movement disorder characterized by abrupt, rapid, and uncontrollable, random movements from one part of the body to another with motor impersistence. Sporadic chorea is rarely caused by either thyrotoxicosis or Moyamoya disease (MMD). METHODS AND RESULTS: In this case report, we describe a female patient with chorea with the rare coexistence of Graves' disease and Moyamoya disease. Tc-99m ethyl cysteinate dimer (ECD) brain perfusion single-photon emission computed tomography (SPECT) showed mild to moderate hypoperfusion in bilateral frontal and left temporal regions...
2023: Frontiers in Neurology
https://read.qxmd.com/read/36198616/clinical-features-of-moyamoya-disease-with-graves-disease-a-retrospective-study-of-394-422-patients-with-thyroid-disease
#4
JOURNAL ARTICLE
Marino Hiruma, Natsuko Watanabe, Takako Mitsumatsu, Nami Suzuki, Miho Fukushita, Masako Matsumoto, Ai Yoshihara, Jaeduk Yoshimura Noh, Kiminori Sugino, Koichi Ito
Graves' disease has been reported to affect the clinical features of moyamoya disease (MMD), an occlusion of the circle of Willis. This study aimed to clarify the characteristics of MMD in patients with Graves' disease. This was a single-center, retrospective study. The prevalence and clinical features of MMD patients among all patients with thyroid disease who visited Ito hospital from January 2005 to December 2019 were evaluated. The relationship between MMD and hyperthyroidism was analyzed in new-onset Graves' disease patients during the same period...
October 5, 2022: Endocrine Journal
https://read.qxmd.com/read/35579208/aneurysmal-bone-cyst-of-the-proximal-femur-concomitant-with-graves-disease-and-moyamoya-disease-report-of-a-rare-case
#5
JOURNAL ARTICLE
Cai Gao-Rui, Chen Guo-Neng, Jiang Wen-Xue
Aneurysmal bone cyst is a type of benign bone pathology with expansile and osteolytic features whose etiology remains unclear. Graves' disease is an autoimmune disease characterized by diffuse goiter and hyperthyroidism. Moyamoya disease is a progressive cerebral vasculopathy. It has been reported that Graves' disease and Moyamoya disease share a similar etiology involving cytokines and autoimmune and genetic factors. There are no previous reports regarding the relationship between aneurysmal bone cyst and Graves' disease...
May 2022: Journal of International Medical Research
https://read.qxmd.com/read/34696552/acute-cerebral-infarction-combined-with-a-thyroid-storm-in-a-patient-with-both-moyamoya-syndrome-and-graves-disease
#6
Jong Han Gill, Taek Kyun Nam, Hoon Kyo Jung, Kyung Min Jang, Hyun Ho Choi, Yong Sook Park, Jeong Taik Kwon
Moyamoya syndrome (MMS) associated with hyperthyroidism, such as Graves' disease, is a rare condition that causes ischemic stroke with thyrotoxicity. A 43-year-old woman with symptoms of right hemiparesis was admitted. Brain magnetic resonance imaging revealed a small cerebral infarction in the left frontal lobe. Cerebral angiography revealed multi-vessel intracranial occlusive disease. Several days later, neurologic deterioration and aggravation of cerebral infarction developed due to a thyroid storm. A thyroid function test revealed the following: thyroid-stimulating hormone (TSH) <0...
June 2022: Journal of Cerebrovascular and Endovascular Neurosurgery
https://read.qxmd.com/read/34469872/role-of-rnf213-polymorphism-in-defining-quasi-moyamoya-disease-and-definitive-moyamoya-disease
#7
JOURNAL ARTICLE
Eitaro Ishisaka, Atsushi Watanabe, Yasuo Murai, Kazutaka Shirokane, Fumihiro Matano, Atsushi Tsukiyama, Eiichi Baba, Shunsuke Nakagawa, Tomonori Tamaki, Takayuki Mizunari, Rokuya Tanikawa, Akio Morita
OBJECTIVE: Quasi-moyamoya disease (QMMD) is moyamoya disease (MMD) associated with additional underlying diseases. Although the ring finger protein 213 (RNF213) c.14576G>A mutation is highly correlated with MMD in the Asian population, its relationship to QMMD is unclear. Therefore, in this study the authors sought to investigate the RNF213 c.14576G>A mutation in the genetic diagnosis and classification of QMMD. METHODS: This case-control study was conducted among four core hospitals...
September 2021: Neurosurgical Focus
https://read.qxmd.com/read/33130479/moyamoya-disease-associated-with-graves-disease-and-down-syndrome-a-case-report-and-literature-review
#8
REVIEW
Hikaru Nakamura, Kei Sato, Shota Yoshimura, Yukishige Hayashi, Tsuyoshi Izumo, Yoshiharu Tokunaga
BACKGROUND: Moyamoya vessels are cerebral vasculopathies characterized by net-like collateral vessel formation at the cerebral basal area and stenosis of the terminal internal carotid artery, proximal middle cerebral artery, and anterior cerebral artery. A diagnosis of Moyamoya disease depends on the bilateral presence of Moyamoya vessels. Moyamoya disease associated with Graves' disease has rarely been reported to be a cause of ischemic events due to hyperthyroidism. However, there are extremely rare cases of Moyamoya disease with concurrent Graves' disease and Down syndrome...
January 2021: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/31870818/postoperative-symptomatic-cerebral-infarction-in-pediatric-moyamoya-disease-risk-factors-and-clinical-outcome
#9
JOURNAL ARTICLE
Jung Won Choi, Sangjoon Chong, Ji Hoon Phi, Ji Yeoun Lee, Hee-Soo Kim, Jong Hee Chae, Joongyub Lee, Seung-Ki Kim
BACKGROUND: Indirect bypass surgery is used to improve the hemodynamic status of pediatric patients with moyamoya disease (MMD). Symptomatic cerebral infarction during the early postoperative period may be the most frustrating complication. This study was conducted to investigate the factors associated with early postoperative symptomatic cerebral infarction. METHODS: Between January 2000 and February 2014, we performed 1241 indirect bypass surgeries in 659 pediatric MMD patients...
April 2020: World Neurosurgery
https://read.qxmd.com/read/30922903/rare-and-low-frequency-variants-in-rnf213-confer-susceptibility-to-moyamoya-syndrome-associated-with-hyperthyroidism
#10
JOURNAL ARTICLE
Shunsuke Nomura, Hiroyuki Akagawa, Koji Yamaguchi, Tatsuya Ishikawa, Akitsugu Kawashima, Hidetoshi Kasuya, Maki Mukawa, Tadashi Nariai, Taketoshi Maehara, Yoshikazu Okada, Takakazu Kawamata
BACKGROUND: Moyamoya syndrome (MMS), distinguished from definite moyamoya disease (MMD), is characterized by moyamoya vasculopathy thought to develop secondary to underlying conditions (e.g., hyperthyroidism). Recent studies have shown that a proportion of East Asian (EAS) patients with MMS possess the p.R4810K variant of RNF213 (rs112735431), the foremost susceptibility variant among EAS patients with MMD. We evaluated the association between hyperthyroidism-associated MMS (hMMS) and sequence variants in RNF213...
July 2019: World Neurosurgery
https://read.qxmd.com/read/29353860/association-of-hyperthyroidism-and-thyroid-autoantibodies-with-moyamoya-disease-and-its-stroke-event-a-population-based-case-control-study-and-meta-analysis
#11
JOURNAL ARTICLE
Jun Hyong Ahn, Jin Pyeong Jeon, Jeong Eun Kim, Eun Jin Ha, Won-Sang Cho, Young Joo Park, Nam Han Cho, Hoon Sung Choi, Hyun-Seung Kang, Young-Je Son, Jae Seung Bang, Chang Wan Oh
The aim of this study was to investigate the specific thyroid condition and thyroid autoantibodies in adult moyamoya disease (MMD) according to clinical presentation (ischemia vs. hemorrhage stroke). In addition, a meta-analysis was performed to reveal the association between adult MMD and elevated thyroid function, or autoantibodies. Prospectively collected data on 169 consecutive patients with MMD at a single institution were analyzed. Community-based controls matched for age and sex were selected for comparison...
March 15, 2018: Neurologia Medico-chirurgica
https://read.qxmd.com/read/27857839/fatal-outcome-in-a-hispanic-woman-with-moyamoya-syndrome-and-graves-disease
#12
JOURNAL ARTICLE
Julian Choi, Perin Suthakar, Farbod Farmand
We describe the case of a young Hispanic female who presented with thyrotoxicosis with seizures and ischemic stroke. She was diagnosed with a rare vasculopathy - moyamoya syndrome. After starting antithyroid therapy, her neurologic symptoms did not improve. Acute neurosurgical intervention had relieved her symptoms in the immediate post-operative period after re-anastomosis surgery. However, 2 post-operative days later, she was found to be in status epilepticus and in hyperthyroid state. She quickly deteriorated clinically and had expired a few days afterward...
2016: Endocrinology, Diabetes & Metabolism Case Reports
https://read.qxmd.com/read/26422946/-anesthetic-management-of-a-patient-with-quasi-moyamoya-disease-undergoing-total-thyroidectomy-for-graves-disease
#13
JOURNAL ARTICLE
Shinnosuke Shiono, Chiho Ota, Tatsuyuki Imada, Yukio Hayashi, Yuji Fujino
Quasi-moyamoya disease defined as moyamoya disease combined with autoimmune diseases such as Graves' disease is rare. We report anesthetic management of a patient with quasi-moyamoya disease undergoing total thyroidectomy for Graves' disease resistant to medical therapy. This disease is characterized by the aggravation of cerebral ischemic symptoms with hyperthyroidism. We, therefore, applied steroid pulse therapy before the operation to induce temporal normalization of the thyroid function, and could perform safe anesthetic management of this patient with quasi-moyamoya disease...
July 2015: Masui. the Japanese Journal of Anesthesiology
https://read.qxmd.com/read/26353171/simultaneous-occurrence-of-diabetic-ketoacidosis-thyroid-storm-and-multiple-cerebral-infarctions-due-to-moyamoya-disease
#14
JOURNAL ARTICLE
Byoungho H Noh, Sang-Won Cho, Sung Yeon Ahn
Diabetic ketoacidosis (DKA) is one of the precipitating factors that can evoke a thyroid storm. Thyroid storm may cause cerebral ischemia in Moyamoya disease, which can coexist in patients with Graves' disease. A 16-year-old girl complaining of dizziness and palpitations visited the emergency department and was diagnosed with DKA combined with hyperthyroidism. A thyroid storm occurred 6 h after the start of DKA management. Her Burch and Wartofsky score was 65 points. Right hemiplegia developed during the thyroid storm, and brain magnetic resonance (MR) diffusion-weighted images revealed multiple acute infarcts in both hemispheres...
February 2016: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://read.qxmd.com/read/25817623/genetic-analysis-of-rnf213-c-14576g-a-variant-in-nonatherosclerotic-quasi-moyamoya-disease
#15
JOURNAL ARTICLE
Satoru Miyawaki, Hideaki Imai, Masahiro Shimizu, Shinichi Yagi, Hideaki Ono, Hirofumi Nakatomi, Tsuneo Shimizu, Nobuhito Saito
BACKGROUND: Quasi-moyamoya disease (MMD) and MMD (definite MMD) have similar cerebral angiographic features, but whether these related diseases have similar etiology or genetic background remains unclear. Recently, we have reported that the recently identified MMD susceptibility gene variant RNF213 c.14576G>A (rs112735431) was associated with atherosclerotic intracranial major artery stenosis/occlusion. The present study investigated the occurrence of RNF213 c.14576G>A in patients with nonatherosclerotic quasi-MMD...
May 2015: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://read.qxmd.com/read/24684272/association-of-moyamoya-disease-with-thyroid-autoantibodies-and-thyroid-function-a-case-control-study-and-meta-analysis
#16
JOURNAL ARTICLE
C Lei, B Wu, Z Ma, S Zhang, M Liu
BACKGROUND AND PURPOSE: Evidence suggests that elevated thyroid function and elevated levels of thyroid autoantibodies are associated with risk of moyamoya disease (MMD). Therefore a meta-analysis of all available evidence was performed, including unpublished data from our own center, in order to assess this association. METHODS: Major literature databases were reviewed without language restrictions to identify studies examining the association between MMD and thyroid function or thyroid autoantibodies...
July 2014: European Journal of Neurology
https://read.qxmd.com/read/24249431/pathophysiology-and-management-of-intracranial-arterial-stenosis-around-the-circle-of-willis-associated-with-hyperthyroidism-case-reports-and-literature-review
#17
REVIEW
Fumihiro Matano, Yasuo Murai, Koji Adachi, Takayuki Kitamura, Akira Teramoto
Cases of moyamoya disease or intracranial arterial stenosis around the circle of Willis (M/IAS) associated with hyperthyroidism have been reported. However, most of these previous reports were of the ischemic form of M/IAS and primary hyperthyroidism. To the best of our knowledge, no studies have documented therapy for M/IAS associated with hyperthyroidism. We discuss four previously unreported cases, including those involving the intracerebral hemorrhage form and thyroid-stimulating hormone (TSH) secretion from a pituitary adenoma (secondary hyperthyroidism)...
April 2014: Neurosurgical Review
https://read.qxmd.com/read/24024979/elevated-thyroid-autoantibodies-and-intracranial-stenosis-in-stroke-at-an-early-age
#18
JOURNAL ARTICLE
Zhenghao Shi, Xuting Zhang, Zhicai Chen, David S Liebeskind, Min Lou
BACKGROUND: Previous studies have shown that hyperthyroidism was related to Moyamoya disease and intracranial artery stenosis. However, it is not clear whether thyroid hormone or thyroid autoantibodies was associated with them. AIMS AND/OR HYPOTHESIS: Thyroid autoimmunity was previously shown to be associated with Moyamoya disease. Our study aimed to investigate the association between thyroid autoantibodies and intracranial large artery stenosis in young ischemic stroke patients with apparent euthyroid states...
August 2014: International Journal of Stroke: Official Journal of the International Stroke Society
https://read.qxmd.com/read/23518423/coexistence-of-moyamoya-and-graves-diseases-the-clinical-characteristics-and-treatment-effects-of-21-chinese-patients
#19
JOURNAL ARTICLE
Desheng Li, Weizhong Yang, Peng Xian, Peng Liu, Xiangyang Bao, Rui Zong, Lian Duan
OBJECTIVE: To investigate the clinical features, pathogenesis and treatment effect of patients who had moyamoya disease (MMD) concurrent with Graves' disease (GD). PATIENTS AND METHODS: Retrospective analysis of the examination and treatment results of the MMD patients with GD from January 2003 to April 2012 treated by our teamwork. RESULTS: There were 1493 MMD patients included in this retrospective study. Among them, there were 16 female and 5 male MMD patients coexisted with Graves' diseases, and 15 of them were adult patients...
September 2013: Clinical Neurology and Neurosurgery
https://read.qxmd.com/read/23227059/indirect-revascularization-surgery-for-moyamoya-disease-in-children-and-its-special-considerations
#20
JOURNAL ARTICLE
Kyu-Chang Wang, Ji Hoon Phi, Ji Yeoun Lee, Seung-Ki Kim, Byung-Kyu Cho
Moyamoya disease (MMD) is the most common pediatric cerebrovascular disease in Far Eastern countries. In children, MMD frequently manifests as ischemic symptomatology. Cerebral perfusion gradually decreases as the disease progresses, which often leads to cerebral infarction. The benefits of revascularization surgery, whether direct or indirect, have been well established in MMD patients with ischemic symptoms. In adults, the increase in cerebral blood flow achieved with indirect revascularization is often unsatisfactory, and direct revascularization is usually feasible...
November 2012: Korean Journal of Pediatrics
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