Incidental Moyamoya Disease in an Elderly Patient Presenting With Acute Ischemic Pontine Stroke.
antiplatelet therapy
cerebral angiogram
moyamoya angiopathy
moyamoya disease (mmd)
stroke
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
accepted:
14
03
2023
medline:
18
4
2023
entrez:
17
4
2023
pubmed:
18
4
2023
Statut:
epublish
Résumé
Moyamoya disease (MMD) is a rare occlusive cerebrovascular disease that is characterized by progressive stenosis of the terminal portion of the internal carotid artery and its main branches with compensatory development of dilated and fragile collateral vasculature at the base of the brain. MMD has a bimodal age distribution commonly affecting children and adults, whereas onset in the elderly population is a rare occurrence. Here, we present a case of a 78-year-old patient of Indonesian descent who was incidentally found to have moyamoya arteriopathy after presenting with acute ischemic stroke in the left pons. The patient underwent diagnostic cerebral angiogram that showed right middle cerebral artery stenosis with pathognomonic collateral moyamoya vessels. The patient was discharged on antiplatelet therapy. We report a rare case of an elderly patient with MMD. The role of medical or surgical management in asymptomatic MMD in elderly patients remains largely unknown.
Identifiants
pubmed: 37065418
doi: 10.7759/cureus.36198
pmc: PMC10104681
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e36198Informations de copyright
Copyright © 2023, Abou-El-Hassan et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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