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Neuropediatrics 1990; 21(1): 44-47
DOI: 10.1055/s-2008-1071457
Case report

© Georg Thieme Verlag KG Stuttgart · New York

Moyamoya Disease Associated with Renovascular Hypertension

J. N. Jansen1 , A.J. M. Donker2 , W. J. Luth3 , L. M. E. Smit1
  • 1Free University Hospital, Department of Paediatric Neurology, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands
  • 2Free University Hospital, Department of internal Medicine, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands
  • 3Free University Hospital, Department of Radiology, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands
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Publication History

Publication Date:
19 March 2008 (online)

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Abstract

This is a report of a case history of a child with cerebral Moyamoya disease and gradual development of systemic hypertension. Sodium depletion combined with enalapril induced renal failure. A bilateral renal artery stenosis was found. Percutaneous transluminal angioplasty was not successful and was followed by autotransplantation of both kidneys. Histopathological examination of the renal arteries revealed intimal hyperplasia.

Key words

Moyamoya disease - Renal artery stenosis - Renovascular hypertension - Converting enzyme inhibition