Cargando…

A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion

OBJECTIVE: We report a case of acute internal carotid artery occlusion in a patient with adult-onset moyamoya disease who underwent mechanical thrombectomy and had a good outcome. CASE PRESENTATION: A 73-year-old woman was diagnosed with moyamoya disease by asymptomatic right middle cerebral artery...

Descripción completa

Detalles Bibliográficos
Autores principales: Sogabe, Shu, Kanematsu, Yasuhisa, Miyamoto, Takeshi, Yamaguchi, Izumi, Yamamoto, Yuki, Yamaguchi, Tadashi, Yamamoto, Nobuaki, Shimada, Kenji, Takagi, Yasushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370615/
https://www.ncbi.nlm.nih.gov/pubmed/37503452
http://dx.doi.org/10.5797/jnet.cr.2020-0015
_version_ 1785077972542160896
author Sogabe, Shu
Kanematsu, Yasuhisa
Miyamoto, Takeshi
Yamaguchi, Izumi
Yamamoto, Yuki
Yamaguchi, Tadashi
Yamamoto, Nobuaki
Shimada, Kenji
Takagi, Yasushi
author_facet Sogabe, Shu
Kanematsu, Yasuhisa
Miyamoto, Takeshi
Yamaguchi, Izumi
Yamamoto, Yuki
Yamaguchi, Tadashi
Yamamoto, Nobuaki
Shimada, Kenji
Takagi, Yasushi
author_sort Sogabe, Shu
collection PubMed
description OBJECTIVE: We report a case of acute internal carotid artery occlusion in a patient with adult-onset moyamoya disease who underwent mechanical thrombectomy and had a good outcome. CASE PRESENTATION: A 73-year-old woman was diagnosed with moyamoya disease by asymptomatic right middle cerebral artery occlusion at 59 years of age. The patient was transported for stroke symptoms. Magnetic resonance imaging (MRI) demonstrated left terminal internal carotid artery occlusion and low-intensity signal on T2*-weighted imaging at the occlusion site. Alteplase was administered and endovascular treatment was subsequently performed. A small-diameter microcatheter was guided to the distal end of the occlusion and angiography after deployment of a stent retriever revealed irregular stenosis. Severe stenosis remained after thrombectomy, and balloon angioplasty was added. The treatment resulted in recanalization and good outcome. CONCLUSION: Adults with moyamoya disease may have accompanying atherosclerotic intracranial artery occlusion. Angiography after deployment of a stent retriever was useful for clarifying the etiology of occlusion. It is important to determine the etiology of occlusion based on the medical history or imaging findings and to select an appropriate treatment.
format Online
Article
Text
id pubmed-10370615
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher The Japanese Society for Neuroendovascular Therapy
record_format MEDLINE/PubMed
spelling pubmed-103706152023-07-27 A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion Sogabe, Shu Kanematsu, Yasuhisa Miyamoto, Takeshi Yamaguchi, Izumi Yamamoto, Yuki Yamaguchi, Tadashi Yamamoto, Nobuaki Shimada, Kenji Takagi, Yasushi J Neuroendovasc Ther Case Report OBJECTIVE: We report a case of acute internal carotid artery occlusion in a patient with adult-onset moyamoya disease who underwent mechanical thrombectomy and had a good outcome. CASE PRESENTATION: A 73-year-old woman was diagnosed with moyamoya disease by asymptomatic right middle cerebral artery occlusion at 59 years of age. The patient was transported for stroke symptoms. Magnetic resonance imaging (MRI) demonstrated left terminal internal carotid artery occlusion and low-intensity signal on T2*-weighted imaging at the occlusion site. Alteplase was administered and endovascular treatment was subsequently performed. A small-diameter microcatheter was guided to the distal end of the occlusion and angiography after deployment of a stent retriever revealed irregular stenosis. Severe stenosis remained after thrombectomy, and balloon angioplasty was added. The treatment resulted in recanalization and good outcome. CONCLUSION: Adults with moyamoya disease may have accompanying atherosclerotic intracranial artery occlusion. Angiography after deployment of a stent retriever was useful for clarifying the etiology of occlusion. It is important to determine the etiology of occlusion based on the medical history or imaging findings and to select an appropriate treatment. The Japanese Society for Neuroendovascular Therapy 2020-08-28 2021 /pmc/articles/PMC10370615/ /pubmed/37503452 http://dx.doi.org/10.5797/jnet.cr.2020-0015 Text en ©2021 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Sogabe, Shu
Kanematsu, Yasuhisa
Miyamoto, Takeshi
Yamaguchi, Izumi
Yamamoto, Yuki
Yamaguchi, Tadashi
Yamamoto, Nobuaki
Shimada, Kenji
Takagi, Yasushi
A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion
title A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion
title_full A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion
title_fullStr A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion
title_full_unstemmed A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion
title_short A Patient with Moyamoya Disease Who Underwent Recanalization Therapy for Acute Intracranial Internal Carotid Artery Occlusion
title_sort patient with moyamoya disease who underwent recanalization therapy for acute intracranial internal carotid artery occlusion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370615/
https://www.ncbi.nlm.nih.gov/pubmed/37503452
http://dx.doi.org/10.5797/jnet.cr.2020-0015
work_keys_str_mv AT sogabeshu apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT kanematsuyasuhisa apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT miyamototakeshi apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamaguchiizumi apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamamotoyuki apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamaguchitadashi apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamamotonobuaki apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT shimadakenji apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT takagiyasushi apatientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT sogabeshu patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT kanematsuyasuhisa patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT miyamototakeshi patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamaguchiizumi patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamamotoyuki patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamaguchitadashi patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT yamamotonobuaki patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT shimadakenji patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion
AT takagiyasushi patientwithmoyamoyadiseasewhounderwentrecanalizationtherapyforacuteintracranialinternalcarotidarteryocclusion