Subscribe to RSS
DOI: 10.1055/s-2003-44664
Georg Thieme Verlag Stuttgart · New York
Moyamoya and Extracranial Vascular Involvement: Fibromuscular Dysplasia? A Report of Two Children
Publication History
Received: July 23, 2003
Accepted after Revision: September 9, 2003
Publication Date:
18 December 2003 (online)
Abstract
We present two patients with moyamoya syndrome and the unusual involvement of extracranial vessels. The first case illustrates the rare association between moyamoya and primary pulmonary hypertension. In the second patient, moyamoya was complicated by stenoses of vertebral, renal, and mesenteric arteries. In both cases, a systemic intima-proliferative disease, such as fibromuscular dysplasia (FMD), was suspected to be the cause of both intracranial and extracranial arterial disease.
Key words
Moyamoya - fibromuscular dysplasia - pulmonary hypertension
References
- 1 Ashleigh R J, Weller J M, Leggate J RS. Fibromuscular hyperplasia of the internal carotid artery. A further cause of the moyamoya collateral circulation. Br J Neurosurg. 1992; 6 269-274
- 2 Begelman S M, Olin J W. Fibromuscular dysplasia. Curr Opin Rheum. 2000; 12 41-47
- 3 Choi Y, Kang B C, Kim K J, Cheong H I, Hwang Y S, Wang K C, Kim I O. Renovascular hypertension in children with moyamoya disease. J Pediatr. 1997; 131 258-262
- 4 Fukuhara H, Kitayama H, Yokoyama T, Shirotani H. Thromboembolic pulmonary hypertension due to disseminated fibromuscular dysplasia. Pediatr Cardiol. 1996; 17 340-345
-
5 Healton E B, Mohr J P.
Cerebrovascular fibromuscular dysplasia. Barnett HJM, Stein BM, Yatsu FM Stroke. Pathophysiology, Diagnosis, and Management. 3rd ed. Philadelphia; Churchill Livingstone 1998: 833-844 - 6 Ikeda E. Systemic vascular changes in spontaneous occlusion of the circle of Willis. Stroke. 1991; 22 1358-1362
- 7 Kapusta L, Daniels O, Renier W O. Moyamoya syndrome and primary pulmonary hypertension in childhood. Neuropediatrics. 1990; 21 162-163
- 8 Natori Y, Ikezaki K, Matsushima, Fukui M. “Angiographic moyamoya”; its definition, classification, and therapy. Clin Neurol Neurosurg. 1997; 99 (Suppl 2) 168-172
- 9 Sandmann W, Schulte K M. Multivisceral fibromuscular dysplasia in childhood: case report and review of the literature. Ann Vasc Surg. 2000; 14 496-502
M. D., Ph.D. K. P. J. Braun
Department of Child Neurology
Wilhelmina Children's Hospital
University Medical Center Utrecht
P.O. Box 85090
3508 AB Utrecht
The Netherlands
Email: K.Braun@wkz.azu.nl