Arteriovenous malformation associated with moyamoya disease: Case report

Akiyama, Katsuhiko; Mitsui, Takashi; Tsuji, Yukihide; Isayama, Kazuo

doi:10.1016/0090-3019(94)90009-4

Cited by 17 publications

(13 citation statements)

References 7 publications

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“…One patient suffered from a caudate hemorrhage in the contralateral side of the AVM. [1] Two patients sustained intracerebral hemorrhages in the thalamus [4] and basal ganglion, respectively, near the nidus of AVM; however, it was unclear whether the hemorrhage was due to rupture of the AVM or the fragile moyamoya collateral vessels. Based on neurological signs one patient was presumed to be developing an intracerebral hemorrhage ,which was not documented.…”

Section: Discussionmentioning

confidence: 99%

“…A total of twelve AVMs in association with eleven cases of moyamoya disease have been reported (Table 1). [1,[3][4][5][6][7][8] In all cases, occlusive vascular disease with moyamoya vessels was demonstrated on cerebral angiography in the bilateral terminal portion of the ICA or the origin of the anterior cerebral and middle cerebral arteries. Two independent AVMs were present in the bilateral frontal lobe in one patient.…”

Section: Discussionmentioning

confidence: 99%

“…[1,[3][4][5][6][7][8] The pathogenesis and prognosis in patients with AVMs remain unclear, although the possible role of hemodynamic stress has been suggested to account for the pathogenesis of saccular aneurysms in these patients. In this paper, we describe two patients with moyamoya disease in whom an AVM was found, and we discuss the pathogenesis of the combination of two different vascular diseases.…”

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confidence: 99%

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Arteriovenous malformation in association with moyamoya disease

Nakashima

Nakayama

Furuichi

et al. 1998

FOC

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The authors report two rare cases of arteriovenous malformation (AVM) associated with moyamoya disease. An AVM, supplied by transdural communicating arteries, was located in the right occipital lobe in one patient who presented with ischemia. The second AVM, which was supplied by basal moyamoya vessels, was located in the posterior part of the left frontal lobe in a patient who developed intracerebral hemorrhage that occupied the left basal ganglion. A review of the literature revealed a total of 12 AVMs in 11 patients with moyamoya disease including our cases. All AVMs were cerebral and two were supplied by normal cerebral arteries, whereas six AVMs were supplied by basal moyamoya vessels at the base of the brain and four AVMs were supplied by external carotid arteries through the transdural communicating arteries. Every AVM drained into deep or cortical cerebral veins. These findings suggest that the hyperangiogenic character of moyamoya disease occasionally induces the development of acquired arteriovenous shunts that mimic AVM.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Arteriovenous malformation in association with moyamoya disease

Nakashima

Nakayama

Furuichi

et al. 1998

FOC

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“…Of note, an SNP in the gene encoding TIMP-2, a candidate SNP within a location identified in linkage studies of familial moyamoya, has been implicated as a genetic predisposing factor for familial moyamoya. However, subsequent studies have been unable to replicate this finding [24].…”

Section: Endothelial Progenitor Cells In Vascular Anomaliesmentioning

confidence: 67%

Moya Moya Disease- A Review

Aishwarya¹,

Kv²

2017

Asian J Pharm Clin Res

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Moyamoya syndrome is a specific chronic cerebrovascular occlusive disease first reported by Japanese surgeons in 1957. The disease moyamoya, which is a Japanese mimetic word, gets its characteristic name due to the appearance of puff of smoke on relevant angiographs resultant from the tangle of tiny vessels in response to stenosis. This makes the blood to leak out of the arteries, causing pressure to the brain. It may cause ischemic attacks or cerebral infarction, which is more frequent in children than in adults. The highest peak is in childhood at <10 years of age. The disease causes constrictions primarily in the internal carotid artery (ICA), and often extends to the middle and anterior cerebral arteries, branches of the ICA inside the skull. When the ICA becomes completely blocked, the fine collateral circulation that it supplies is obliterated. The clinical features are strokes, recurrent transient ischemic attacks, sensorimotor paralysis (numbness and paralysis of the extremities), convulsions, and/or migraine-like headaches. Moreover, following a stroke, secondary bleeding may occur. Such bleeding called hemorrhagic strokes. Treatment with perivascular sympathectomy and superior cervical ganglionectomy. Etiology of the disease is still unknown; however, multifactorial inheritance is considered possible because of a higher incidence of the disease in Japanese and Koreans and approximately 10% of familial occurrence among the Japanese. Recent genetic studies suggest some responsible genetic foci in chromosomes 3, 6 and 17.

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“…Moyamoya disease is rarely found in conjunction with cerebral AVM, and few cases have been reported in the literature [1,4,5,10,11,15]. While Australia [11], the United States [5,12] and Japan [1,4,10,15] have described one, four and four cases, respectively, no cases have thus far been reported from other countries.…”

Section: Introductionmentioning

confidence: 95%

Progression of arteriovenous malformation in moyamoya syndrome

1997

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We report a case of moyamoya disease (MMD) associated with arteriovenous malformation (AVM). The 30-year-old female patient presented with left-hemispheric transient ischaemic attacks (TIAs) involving dysphasia and right-sided hemiparesis. CT-scan and lumbar puncture showed no evidence of intracranial haemorrhage. Cerebral angiography revealed typical moyamoya vessels and occlusion of multiple cerebral arteries with consecutive collateral blood supply. Moreover, a left-parietal AVM with a diameter of approximately 2 cm was detected. An extra-intracranial arterial bypass (EIAB) connecting the left superficial temporal artery (STA) with a cortical branch of the left middle cerebral artery (MCA) was performed (STA-MCA anastomosis) and yielded subsequent resolution of the neurological deficit. Nine months post-operatively neurological deficits similar to those of the initial presentation recurred. Repeated angiography suggested comparatively increased AVM blood flow, and successful extirpation of the AVM gradually re-established almost full functional ability. However, deterioration of the neurological condition developed again. We herewith present the first European case of moyamoya disease associated with arteriovenous malformation and report the clinical course under an alternative neurosurgical treatment consisting of STA-MCA anastomosis and delayed extirpation of the AVM.

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Arteriovenous malformation associated with moyamoya disease: Case report

Cited by 17 publications

References 7 publications

Arteriovenous malformation in association with moyamoya disease

Arteriovenous malformation in association with moyamoya disease

Moya Moya Disease- A Review

Progression of arteriovenous malformation in moyamoya syndrome

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