Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Minato-ku, Tokyo, Japan.
Department of Neurosurgery, International University of Health and Welfare, School of Medicine, Minato-ku, Tokyo, Japan.
World Neurosurg. 2020 Jun;138:1-6. doi: 10.1016/j.wneu.2020.02.081. Epub 2020 Feb 24.
For several variants of quasi-moyamoya disease, cerebral revascularization treatment is as effective as it is for the more typical cases of moyamoya disease. Here, we examined a case of moyamoya disease with concurrent congenital rubella syndrome (CRS). On the basis of concurrent underlying disease, the patient was considered to have quasi-moyamoya disease and was treated with cerebral revascularization.
A 36-year-old female presented with a large cerebral infarction. She was diagnosed with quasi-moyamoya disease on the basis of clinical and imaging features. The ischemic symptoms and cognitive dysfunction improved after combined direct and indirect revascularization.
To our knowledge, this is the first known report of moyamoya disease with concurrent CRS. We treated this patient with revascularization as typical for other quasi-moyamoya conditions including Down syndrome. This case emphasizes the effectiveness of revascularization treatment for moyamoya disease with concurrent CRS for the prevention of ischemic stroke and improvement of cognitive function, despite existing cerebral infarction.
对于几种类烟雾病变异型，脑血运重建治疗与更典型的烟雾病病例一样有效。在这里，我们检查了一例伴有先天性风疹综合征（CRS）的烟雾病病例。基于并存的基础疾病，该患者被认为是类烟雾病，并接受了脑血运重建治疗。
一名 36 岁女性因大面积脑梗死就诊。根据临床和影像学特征，她被诊断为类烟雾病。联合直接和间接血运重建后，缺血症状和认知功能障碍得到改善。
据我们所知，这是首例伴有 CRS 的烟雾病的已知报告。我们对该患者进行了血运重建治疗，与包括唐氏综合征在内的其他类烟雾病情况一样。该病例强调了即使存在脑梗死，对伴有 CRS 的烟雾病进行血运重建治疗对于预防缺血性中风和改善认知功能的有效性。
