신경섬유종증 제1형과 동반된 모야모야 증후군 및 내경동맥 근위부 폐색
Moyamoya Syndrome and Proximal Occlusion of the Internal Carotid Artery Associated with Neurofibromatosis Type 1
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Neurofibromatosis (NF) is an autosomal dominant disorder of which manifestations are cafe-au-lait spots, depigmentation, neurofibromas, iris-Lisch nodules and mental retardation. Ischemic strokes associated with NF type 1 (NF-1) have been re-ported frequently. But, among these cases, cerebral infarction with complete occlusion of the extracranial internal carotid ar-tery was rarely reported. A 49-year-old woman with NF-1 suddenly developed right hemiparesis and dysarthria, one day be-fore admission. A brain magnetic resonance imaging (MRI) revealed acute infarction in left striatocapsular area. Cerebral angiography was carried out, and complete occlusion of the left extracranial internal carotid artery was noted. There were also shown moyamoya vessels on right carotid arteriogram. We report a case of moyamoya syndrome and complete occlusion of the extracranial internal carotid artery associated with NF-1. (Korean J Stroke 2009;11:96-99)
Abstract
Neurofibromatosis (NF) is an autosomal dominant disorder of which manifestations are cafe-au-lait spots, depigmentation, neurofibromas, iris-Lisch nodules and mental retardation. Ischemic strokes associated with NF type 1 (NF-1) have been re-ported frequently. But, among these cases, cerebral infarction with complete occlusion of the extracranial internal carotid ar-tery was rarely reported. A 49-year-old woman with NF-1 suddenly developed right hemiparesis and dysarthria, one day be-fore admission. A brain magnetic resonance imaging (MRI) revealed acute infarction in left striatocapsular area. Cerebral angiography was carried out, and complete occlusion of the left extracranial internal carotid artery was noted. There were also shown moyamoya vessels on right carotid arteriogram. We report a case of moyamoya syndrome and complete occlusion of the extracranial internal carotid artery associated with NF-1. (Korean J Stroke 2009;11:96-99)
참고문헌 (10)
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