Moyamoya syndrome with primary antiphospholipid syndrome

被引：8
|
作者：
Shuja-Ud-Din, Mohammed Ali
Ahamed, Shefeek Abubacker
Baidas, Ghassan
Naeem, Mohammad
机构：
[1] Al Sabah Hosp, Dept Med, Safat, Kuwait
[2] Al Sabah Hosp, Dept Clin Radiol, Safat, Kuwait
来源：
MEDICAL PRINCIPLES AND PRACTICE | 2006年 / 15卷 / 03期
关键词：
moyamoya disease; antiphospholipid syndrome; stroke;
D O I：
10.1159/000092190
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Objectives: To report a rare case of moyamoya syndrome with primary antiphospholipid syndrome (APS). Clinical Presentation and Intervention: 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. Conclusion: 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. Copyright (C) 2006 S. Karger AG, Basel.
引用
收藏
页码：238 / 241
页数：4
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