Ajimi Y, Uchida K, Kawase T, Toya S
Department of Neurosurgery, Keio University School of Medicine.
No Shinkei Geka. 1992 Sep;20(9):1021-4.
A case of Turner's syndrome associated with Moyamoya disease in a 10-year-old female is presented. This patient had experienced two periods of syncope and transient right hemiparesis in 2 years. She was short in stature. She had cubitus vargus and mental retardation. The serum LH and FSH values were high. By chromosomal examination Turner's syndrome (karyotype: 45, X/46, X, i(Xq)) was diagnosed. An MRI (SE 2000/20) revealed abnormal vessels on the basal ganglia. Cerebral angiography showed occlusion of bilateral internal carotid arteries at the distal portion, bilateral posterior cerebral arteries at the proximal portion. Basal moyamoya well developed. EDAS (encephalo-duro-arterio-synangiosis) was performed bilaterally. We consider that this may be the first case report of Turner's syndrome associated with Moyamoya disease, and that there may be no relationship between Turner's syndrome and Moyamoya disease in this case.
本文报告了一例10岁女性特纳综合征合并烟雾病的病例。该患者在2年内经历了两次晕厥和短暂性右半身轻瘫。她身材矮小,有肘外翻和智力障碍。血清促黄体生成素(LH)和促卵泡生成素(FSH)值较高。经染色体检查诊断为特纳综合征(核型:45,X/46,X,i(Xq))。磁共振成像(MRI,SE 2000/20)显示基底节区血管异常。脑血管造影显示双侧颈内动脉远端闭塞,双侧大脑后动脉近端闭塞。基底烟雾病形成良好。双侧进行了脑-硬膜-动脉-血管融合术(EDAS)。我们认为这可能是特纳综合征合并烟雾病的首例病例报告,且该病例中特纳综合征与烟雾病之间可能没有关联。