Moyamoya syndrome with primary antiphospholipid syndrome
Medical Principles and Practice. 2006; 15 (3): 238-241
em Inglês
| IMEMR
| ID: emr-79547
ABSTRACT
To report a rare case of moyamoya syndrome with primary antiphospholipid syndrome [APS]. A 41-year-old woman was admitted with sudden onset of left-sided hemiparesis. Magnetic resonance imaging and magnetic resonance angiography of the brain showed characteristic features of moyamoya vessels. Laboratory investigations revealed raised levels of anticardiolipin antibody. She made a complete and uneventful recovery with aspirin and intensive physiotherapy over a period of 2 weeks. The association of APS and moyamoya disease may present a dilemma in management. While APS is often considered to be an indication for giving anticoagulation, a trial of antiplatelet agents is preferable to anticoagulation because of the risk of bleeding from the fragile moyamoya vessels
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Paresia
/
Imageamento por Ressonância Magnética
/
Síndrome Antifosfolipídica
/
Angiografia por Ressonância Magnética
/
Acidente Vascular Cerebral
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Med. Princ. Pract.
Ano de publicação:
2006
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