Dramatic Disappearance of Moyamoya Disease-Induced Chorea After Indirect Bypass Surgery

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概要

• 論文の詳細を見る

• A 31-year-old woman with moyamoya disease presented with choreiform movements persisting for 4.5 years. Magnetic resonance imaging showed a fine vascular plexus in the base of the brain but no parenchymal brain damage. Cerebral angiography revealed intracranial vascular abnormalities compatible with moyamoya disease. Single photon emission computed tomography with N-isopropyl-p-^<123>I-iodoam-phetamine showed definite reduction of the regional cerebral blood flow (rCBF) in the bilateral striata and frontotemporoparietal cortex. rCBF study with acetazolamide administration indicated marked decrease of rCBF reserve in those regions. She underwent indirect bypass surgery (encephalo-duro-ar-terio-myo-synangiosis) under a diagnosis of moyamoya disease. The choreic involuntary movements disappeared shortly after surgery. Postoperative angiography showed neovascularization in the extracranial to intracranial direction, associated with dramatic increase in rCBF in the involved regions.

• 社団法人日本脳神経外科学会の論文
• 2008-09-15

著者

• Matsui Toru

  Department Of Applied Chemistry School Of Engineering The University Of Tokyo

• Matsui Toru

  Department Of Neurosurgery Saitama Medical Center Saitama Medical University

• KAMIJO Koji

  Department of Neurosurgery, Saitama Medical Center Saitama Medical University

• Kamijo Koji

  Department Of Neurosurgery Faculty Of Medicine Tokyo University

• Kamijo Koji

  Department Of Neurosurgery Saitama Medical Center Saitama Medical University

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