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Fatal ischemic stroke in a case of progressive moyamoya vasculopathy associated with uncontrolled thyrotoxicosis

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Several studies have described strokes that were associated with thyrotoxic moyamoya vasculopathy [1-5]. Although a majority of these cases followed a benign disease course in a euthyroid state after the stroke, this report describes a case of fatal ischemic stroke in a patient with progressive moyamoya vasculopathy associated with uncontrolled thyrotoxicosis.

Abstract

Several studies have described strokes that were associated with thyrotoxic moyamoya vasculopathy [1-5]. Although a majority of these cases followed a benign disease course in a euthyroid state after the stroke, this report describes a case of fatal ischemic stroke in a patient with progressive moyamoya vasculopathy associated with uncontrolled thyrotoxicosis.

참고문헌 (5)

  1. Golomb MR, "A 10-year-old girl with coexistent moyamoya disease and Graves’ disease", J Child Neurol, 20, pp.620~624 (2005)
  2. Hsu SW, "Rapidly progressive fatal bihemispheric infarction secondary to Moyamoya syndrome in association with Graves thyrotoxicosis", AJNR Am J Neuroradiol, 27, pp.643~647 (2006)
  3. Shen AL, "Concurrent moyamoya disease and Graves’ thyrotoxicosis: case report and literature review", Acta Neurol Taiwan, 15, pp.114~119 (2006)
  4. Im SH, "Moyamoya disease associated with Graves disease: special considerations regarding clinical significance and management", J Neurosurg, 102, pp.1013~1017 (2005)
  5. Utku U, "Reversible MR angiographic findings in a patient with autoimmune Graves disease", AJNR Am J Neuroradiol, 25, pp.1541~1543 (2004)

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