Adult moyamoya disease with peripheral artery involvement

Weber, Christian; Tatò, Federico; Brandl, Thomas; Kellner, Wolfgang; Hoffmann, Ulrich

doi:10.1067/mva.2001.117151

“…An angiographic staging system was described by Mugikura et al 11 The Mugikura et al 11 stages are presented in Table 2 . 12 According to this system, the patient described seems to be compatible with the second stage. However, this staging system only includes the cerebrovascular system.…”

Section: Discussionmentioning

confidence: 91%

Unusual presentation of moyamoya disease with popliteal involvement: case report and review of the literature

Etli¹,

Karahan²

2021

J. vasc. bras.

1

0

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Moyamoya disease is a rare disorder that involves the cerebrovascular system. Usually, it leads to occlusion of the arteries of the cerebral system and causes cerebral circulatory complaints. A 48-year-old female patient was admitted to our clinic with intermittent claudication in both legs. Biphasic and monophasic waveform patterns were detected bilaterally in distal (trifurcation arteries) lower extremities with Doppler sonography. The patient therefore underwent systemic vascular examination. Computed tomography angiography revealed bilateral carotid occlusion at the level of supraclinoid segments, and opacifications were detected at the distal segments of the bilateral anterior cerebellar and middle cerebellar arteries. The patient was diagnosed with moyamoya disease, and anticoagulant treatment was started. In conclusion, most previous reports have presented the cerebrovascular involvement of moyamoya disease. However, this disease can involve different peripheral vascular systems and careful and systemic vascular examination is necessary for an exact diagnosis.

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“…Häckel et al 15 provide a case of a patient with Moyamoya disease and suspected involvement of the extracranial vertebral arteries ‘diagnosed’ with angiography which revealed ‘Moyamoya-vessels’ in carotid territories supplied by the vertebrobasilar system. Weber et al 16 demonstrated involvement of multiple peripheral vessels in a patient with Moyamoya disease. This was supported by duplex ultrasound and MR angiography showing concentric wall thickening and diffuse luminal narrowing in the absence of systemic inflammation.…”

Section: Discussionmentioning

confidence: 99%

External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease

Schmidt

¹

,

Parker

²

,

Fraser

³

2014

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BackgroundMoyamoya disease is characterized by progressive narrowing of the internal carotid artery (ICA). Symptomatic patients typically undergo cerebrovascular intervention via extracranial–intracranial (EC–IC) bypass, most often with the use of the superficial temporal artery. This case of Moyamoya disease is of particular interest as the patient presented with a unilateral atherosclerotic external carotid artery (ECA) stenosis after EC–IC bypass that eliminated the benefit of his original surgery, resulting in a symptomatic presentation.Clinical presentationA 53-year-old man presenting with Moyamoya disease and known left ICA occlusion had received a bilateral encephaloduroarteriosynangiosis (EDAS) bypass 10 years previously. He re-presented complaining of right-sided tingling, weakness, and numbness radiating up the arm. CT angiography indicated significant stenosis of the left ECA. ECA angioplasty and stenting with a distal protection device resulted in resolution of his symptoms.ConclusionsThis case illustrates that a patient presenting with Moyamoya disease and concurrent symptomatic ECA stenosis post-EDAS can be effectively and safely treated with ECA stenting.

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“…Häckel et al 15 provide a case of a patient with Moyamoya disease and suspected involvement of the extracranial vertebral arteries 'diagnosed' with angiography which revealed 'Moyamoya-vessels' in carotid territories supplied by the vertebrobasilar system. Weber et al 16 demonstrated involvement of multiple peripheral vessels in a patient with Moyamoya disease. This was supported by duplex ultrasound and MR angiography showing concentric wall thickening and diffuse luminal narrowing in the absence of systemic inflammation.…”

Section: Discussionmentioning

confidence: 99%

External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease

Schmidt

¹

,

Parker

²

,

Fraser

³

2014

J NeuroIntervent Surg

1

0

View full text Add to dashboard Cite

BackgroundMoyamoya disease is characterized by progressive narrowing of the internal carotid artery (ICA). Symptomatic patients typically undergo cerebrovascular intervention via extracranial–intracranial (EC–IC) bypass, most often with the use of the superficial temporal artery. This case of Moyamoya disease is of particular interest as the patient presented with a unilateral atherosclerotic external carotid artery (ECA) stenosis after EC–IC bypass that eliminated the benefit of his original surgery, resulting in a symptomatic presentation.Clinical presentationA 53-year-old man presenting with Moyamoya disease and known left ICA occlusion had received a bilateral encephaloduroarteriosynangiosis (EDAS) bypass 10 years previously. He re-presented complaining of right-sided tingling, weakness, and numbness radiating up the arm. CT angiography indicated significant stenosis of the left ECA. ECA angioplasty and stenting with a distal protection device resulted in resolution of his symptoms.ConclusionsThis case illustrates that a patient presenting with Moyamoya disease and concurrent symptomatic ECA stenosis post-EDAS can be effectively and safely treated with ECA stenting.

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Adult moyamoya disease with peripheral artery involvement

Cited by 12 publications

References 10 publications

Unusual presentation of moyamoya disease with popliteal involvement: case report and review of the literature

Unusual presentation of moyamoya disease with popliteal involvement: case report and review of the literature

External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease

External carotid stenting for symptomatic stenosis in a patient with patent EDAS for Moyamoya disease

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