Moyamoya-Like Vasculopathy in Neurosarcoidosis
Journal of Korean Neurosurgical Society
;
: 50-52, 2009.
Artigo
em Inglês
| WPRIM
| ID: wpr-48287
ABSTRACT
A 31-year-old man presented with dull headache and memory disturbance lasting for one week. Computed tomographic scans revealed acute hydrocephalus. The cerebrospinal fluid contained 53 leukocytes/mm3, with a mononuclear preponderance and no erythrocytes. Magnetic resonance imaging revealed hydrocephalus and leptomeningeal enhancement. Magnetic resonance angiography and digital subtraction angiography showed supraclinoid occlusion of the right internal carotid artery, which resembled unilateral moyamoya disease. Neuroendoscopic biopsy of a lesion in the septum pellucidum revealed noncaseating granulomas, which was consistent with sarcoidosis. The patient was successfully managed with intravenous methylprednisolone and ventriculoperitoneal shunting. To our knowledge, this is the first case of moyamoya-like vasculopathy associated with neurosarcoidosis.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Sarcoidose
/
Septo Pelúcido
/
Biópsia
/
Metilprednisolona
/
Imageamento por Ressonância Magnética
/
Artéria Carótida Interna
/
Angiografia Digital
/
Doenças do Sistema Nervoso Central
/
Derivação Ventriculoperitoneal
/
Angiografia por Ressonância Magnética
Limite:
Adulto
/
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2009
Tipo de documento:
Artigo
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