Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation
Pediatric Emergency Medicine Journal
; : 25-29, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-741800
Responsible library:
WPRO
ABSTRACT
A previously healthy, 3-year-old boy presented to the emergency department with an afebrile focal motor seizure. He was found crying and having a seizure 30 minutes earlier. During this seizure, he was jerking his head and right extremities. Subsequent magnetic resonance imaging showed acute infarction in the bilateral frontal lobes, chiefly in the left. After hospitalization, conventional angiography demonstrated bilateral stenosis of the distal internal carotid arteries with development of lenticulostriate collaterals, which confirmed the diagnosis of moyamoya disease. It is vital to recognize focal motor seizures and situations related to hyperventilation in children with a seizure, which imply a structural lesion and a provoked cerebral ischemia in preexisting moyamoya disease, respectively.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Seizures
/
Vasoconstriction
/
Magnetic Resonance Imaging
/
Angiography
/
Carotid Artery, Internal
/
Brain Ischemia
/
Constriction, Pathologic
/
Stroke
/
Crying
/
Diagnosis
Type of study:
Diagnostic study
Limits:
Child
/
Child, preschool
/
Humans
/
Male
Language:
English
Journal:
Pediatric Emergency Medicine Journal
Year:
2018
Document type:
Article