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婴儿烟雾病罕见病例:中风后神经康复的复杂性

A Rare Case of Moyamoya Disease in Infancy: Complexities in Post-stroke Neurorehabilitation.

作者信息

Majit Amine Achraf, Rhoul Abdelilah, Mahla Houssam, Kassi Khaoula, El Oumri Ahmed Amine

机构信息

Physical Medicine and Rehabilitation, Mohammed VI University Hospital, Oujda, MAR.

Physical Medicine and Rehabilitation, Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, MAR.

出版信息

Cureus. 2025 Jul 31;17(7):e89133. doi: 10.7759/cureus.89133. eCollection 2025 Jul.

DOI:10.7759/cureus.89133
PMID:40895857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12398300/
Abstract

Although ischemic stroke in infants is not very common, it remains one of the causes of morbidity and mortality in children. One of the etiologies is Moyamoya disease, which remains a rare entity in Morocco. Management of this disease in the pediatric population remains precarious due to delayed diagnosis, given the diversity of clinical presentations and the lack of necessary technical means, such as MRI or angiography, allowing early diagnosis, as well as the lack of standardized international rehabilitation protocols and the absence of pediatric rehabilitation structures in underdeveloped countries. Through this case report of a four-month-old infant who suffered an ischemic stroke in a Moyamoya, we discuss the diagnostic difficulties and its rehabilitation challenges.

摘要

虽然婴儿缺血性中风并不常见,但它仍是儿童发病和死亡的原因之一。病因之一是烟雾病,在摩洛哥它仍然是一种罕见的疾病。由于临床表现多样且缺乏必要的技术手段(如MRI或血管造影)以进行早期诊断,以及缺乏标准化的国际康复方案且欠发达国家没有儿科康复机构,导致诊断延迟,儿科人群中这种疾病的管理仍然不稳定。通过这份关于一名4个月大患烟雾病缺血性中风婴儿的病例报告,我们讨论了诊断困难及其康复挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/360d/12398300/905ae1feac2f/cureus-0017-00000089133-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/360d/12398300/d3da4c69e113/cureus-0017-00000089133-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/360d/12398300/905ae1feac2f/cureus-0017-00000089133-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/360d/12398300/d3da4c69e113/cureus-0017-00000089133-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/360d/12398300/905ae1feac2f/cureus-0017-00000089133-i02.jpg

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本文引用的文献

1
Exploring in Ischemic Stroke and Moyamoya Disease: From Cellular Models to Clinical Insights.缺血性中风和烟雾病的探索:从细胞模型到临床见解
Biomedicines. 2024 Dec 26;13(1):17. doi: 10.3390/biomedicines13010017.
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Pediatric stroke: We need to look for it.小儿中风:我们需要去寻找它。
J Neurol Sci. 2024 Dec 15;467:123276. doi: 10.1016/j.jns.2024.123276. Epub 2024 Oct 18.
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A Review of Current Perspectives on Motoric Insufficiency Rehabilitation following Pediatric Stroke.小儿卒中后运动功能不全康复的当前观点综述
Healthcare (Basel). 2024 Jan 9;12(2):149. doi: 10.3390/healthcare12020149.
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Neuromotor Rehabilitation Interventions After Pediatric Stroke: A Focused Review.小儿卒中后的神经运动康复干预:一项聚焦综述
Semin Pediatr Neurol. 2022 Dec;44:100994. doi: 10.1016/j.spen.2022.100994. Epub 2022 Sep 10.
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Front Public Health. 2022 Mar 24;10:783153. doi: 10.3389/fpubh.2022.783153. eCollection 2022.
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Current approaches and advances in the imaging of stroke.当前中风影像诊断的方法和进展。
Dis Model Mech. 2021 Dec 1;14(12). doi: 10.1242/dmm.048785. Epub 2021 Dec 7.
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The Genetic Basis of Moyamoya Disease.Moyamoya 病的遗传学基础。
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Movement Velocity and Fluidity Improve after Armeo®Spring Rehabilitation in Children Affected by Acquired and Congenital Brain Diseases: An Observational Study.Armeo®Spring 康复治疗对脑性瘫痪患儿运动速度和流畅性的影响:一项观察性研究
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