Internal carotid artery origin of the anterior cerebral artery: A rare anatomic intracranial arterial variation in a child with morning glory disc anomaly and moyamoya vascular pattern; case report and review of literature.
Cerebral arterial diseases
intracranial arterial diseases
morning glory disc anomaly
moyamoya disease
moyamoya vascular pattern
Journal
Brain circulation
ISSN: 2455-4626
Titre abrégé: Brain Circ
Pays: India
ID NLM: 101669876
Informations de publication
Date de publication:
Historique:
received:
17
03
2020
revised:
15
05
2020
accepted:
03
06
2020
entrez:
9
10
2020
pubmed:
10
10
2020
medline:
10
10
2020
Statut:
epublish
Résumé
Morning glory disc anomaly (MGDA) characterizes a congenital dysgenetic disorder of the optic disc, coexisting with arterial intracranial abnormalities, including Moyamoya vascular disease, a significantly rare disease in the European populations. We report a 2.5-year-old female child from Greece previously diagnosed with MGDA, who presented with right-hand paresis, accompanied by focal epileptic spasms, followed by an episode of brief absence seizure, as well as some arm clonic spasms. Magnetic resonance angiography scan revealed the presence of an anomalous origin of the anterior cerebral artery (ACA) from the internal carotid artery (ICA) along with vascular abnormalities, compatible with Moyamoya pattern. To the very best of our knowledge, this is the first reported case of anomalous origin of ACA from the supraclinoid ICA accompanied by severe occlusive intracranial disease (moyamoya-like pattern) in a patient with known MGDA, highlighting the embryonic character of the vascular manifestations in MGDA. It also verifies the association of Moyamoya pattern with MGDA, thus linking vascular dysgenesis as a possible cause of MGDA.
Identifiants
pubmed: 33033785
doi: 10.4103/bc.bc_10_20
pii: BC-6-133
pmc: PMC7511914
doi:
Types de publication
Case Reports
Langues
eng
Pagination
133-138Informations de copyright
Copyright: © 2020 Brain Circulation.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
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