Ogul Hayri
Department of Radiology, Medical Faculty, Istanbul Medipol University, Istanbul, Turkey.
Acta Neurol Belg. 2025 Apr 29. doi: 10.1007/s13760-025-02793-0.
Coexistence of moyamoya disease (MMD) and subclavian steal syndrome (SSS) is an extremely rare condition. We here presented the imaging features of a 50-year-old male with complaints of the severe headache and left upper limb weakness. Computed tomography (CT) angiography showed steno-occlusion of the right terminal internal carotid artery (ICA) and left middle cerebral artery compatible with MMD and total occlusion of the left proximal subclavian artery. Phase-contrast (PC) magnetic resonance (MR) angiography and Doppler ultrasonography (DUS) demonstrated retrograde flow pattern in the left vertebral artery.
烟雾病（MMD）与锁骨下动脉盗血综合征（SSS）并存是一种极其罕见的情况。我们在此呈现了一名50岁男性的影像学特征，该患者主诉严重头痛和左上肢无力。计算机断层扫描（CT）血管造影显示右颈内动脉（ICA）终末段和左大脑中动脉狭窄闭塞，符合烟雾病表现，且左锁骨下动脉近端完全闭塞。相位对比（PC）磁共振（MR）血管造影和多普勒超声检查（DUS）显示左椎动脉存在逆行血流模式。
