Cargando…

Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report

Moyamoya disease (MMD) is a rare idiopathic progressive vaso-occlusive disease characterized by irreversible vascular occlusion and collateral development of distal internal carotid arteries. Initially perceived as an exclusive entity to the East Asian population, the disease is now being reported g...

Descripción completa

Detalles Bibliográficos
Autores principales: Arficho, Kidist T, Gumma, Cezar, Chakko, Mathew N
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10517719/
https://www.ncbi.nlm.nih.gov/pubmed/37746378
http://dx.doi.org/10.7759/cureus.44052
_version_ 1785109382452740096
author Arficho, Kidist T
Gumma, Cezar
Chakko, Mathew N
author_facet Arficho, Kidist T
Gumma, Cezar
Chakko, Mathew N
author_sort Arficho, Kidist T
collection PubMed
description Moyamoya disease (MMD) is a rare idiopathic progressive vaso-occlusive disease characterized by irreversible vascular occlusion and collateral development of distal internal carotid arteries. Initially perceived as an exclusive entity to the East Asian population, the disease is now being reported globally, affecting individuals of diverse ethnicities. We present a case of a 55-year-old African American male patient with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and a prior history of cryptococcal meningitis presenting to the emergency department with recurrent episodic headaches, which was refractory to routine medical therapy. Neuroimaging with computed tomography angiogram of the head and neck and magnetic resonance imaging of the brain led to the subsequent diagnosis of moyamoya syndrome (MMS). To our knowledge, MMS is uncommon in adult HIV/AIDS patients. It is crucial that clinicians are aware of the disease progression. For effective recognition and prevention of the condition, it is of utmost importance that clinicians possess a comprehensive understanding of the disease and its clinical manifestations.
format Online
Article
Text
id pubmed-10517719
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-105177192023-09-24 Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report Arficho, Kidist T Gumma, Cezar Chakko, Mathew N Cureus Neurology Moyamoya disease (MMD) is a rare idiopathic progressive vaso-occlusive disease characterized by irreversible vascular occlusion and collateral development of distal internal carotid arteries. Initially perceived as an exclusive entity to the East Asian population, the disease is now being reported globally, affecting individuals of diverse ethnicities. We present a case of a 55-year-old African American male patient with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and a prior history of cryptococcal meningitis presenting to the emergency department with recurrent episodic headaches, which was refractory to routine medical therapy. Neuroimaging with computed tomography angiogram of the head and neck and magnetic resonance imaging of the brain led to the subsequent diagnosis of moyamoya syndrome (MMS). To our knowledge, MMS is uncommon in adult HIV/AIDS patients. It is crucial that clinicians are aware of the disease progression. For effective recognition and prevention of the condition, it is of utmost importance that clinicians possess a comprehensive understanding of the disease and its clinical manifestations. Cureus 2023-08-24 /pmc/articles/PMC10517719/ /pubmed/37746378 http://dx.doi.org/10.7759/cureus.44052 Text en Copyright © 2023, Arficho et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Arficho, Kidist T
Gumma, Cezar
Chakko, Mathew N
Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report
title Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report
title_full Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report
title_fullStr Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report
title_full_unstemmed Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report
title_short Post Cryptococcal Moyamoya Syndrome in Adult Human Immunodeficiency Virus Patient With Anterior and Posterior Circulation Involvement: Case Report
title_sort post cryptococcal moyamoya syndrome in adult human immunodeficiency virus patient with anterior and posterior circulation involvement: case report
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10517719/
https://www.ncbi.nlm.nih.gov/pubmed/37746378
http://dx.doi.org/10.7759/cureus.44052
work_keys_str_mv AT arfichokidistt postcryptococcalmoyamoyasyndromeinadulthumanimmunodeficiencyviruspatientwithanteriorandposteriorcirculationinvolvementcasereport
AT gummacezar postcryptococcalmoyamoyasyndromeinadulthumanimmunodeficiencyviruspatientwithanteriorandposteriorcirculationinvolvementcasereport
AT chakkomathewn postcryptococcalmoyamoyasyndromeinadulthumanimmunodeficiencyviruspatientwithanteriorandposteriorcirculationinvolvementcasereport