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Titolo:
Moyamoya disease associated with renovascular disease in a young African-Brazilian patient
Autore:
Fuchs, FD; Francesconi, CR; Caramori, PR; da Silva, R; Finger, C; Costa, LF;
Indirizzi:
Hosp Clin Porto Alegre, Serv Cardiol, Div Cardiol, BR-90035003 Porto Alegre, RS, Brazil Hosp Clin Porto Alegre Porto Alegre RS Brazil BR-90035003 BCe, RS, Brazil
Titolo Testata:
JOURNAL OF HUMAN HYPERTENSION
fascicolo: 7, volume: 15, anno: 2001,
pagine: 499 - 501
SICI:
0950-9240(200107)15:7<499:MDAWRD>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
RENAL-ARTERY STENOSIS; SURGICAL-TREATMENT; HYPERTENSION;
Keywords:
Moyamoya disease; renovascular hypertension;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Fuchs, FD Hosp Clin Porto Alegre, Serv Cardiol, Div Cardiol, Ramiro Barcelos,2350, BR-90035003 Porto Alegre, RS, Brazil Hosp Clin Porto Alegre RamiroBarcelos,2350 Porto Alegre RS Brazil BR-90035003 BC
Citazione:
F.D. Fuchs et al., "Moyamoya disease associated with renovascular disease in a young African-Brazilian patient", J HUM HYPER, 15(7), 2001, pp. 499-501

Abstract

Moyamoya is a rare disease characterized by fibrous dysplasia of the internal carotid and proximal cerebral arteries, which has been described mainlyin young Japanese. We present a case of Moyamoya disease with renal arteryinvolvement in a young male patient with an African origin. A 15-year-old boy was referred to our hospital due to uncontrolled blood pressure, headache, somnolence, cognitive deficit and multiple lacunar infarcts in the computed tomography. Cerebral arteriography showed the absence of the normal vascular anatomy at the level of the circle of Willis, The intracraneal vessels presented severe stenosis or were occluded and replaced by an extensive network of ectasic collateral vessels. Abdominal ultrasound examination identified asymmetric kidneys, and renal arteriography showed a tight stenosisof the ostium and proximal segment of right main artery, which was only partially relieved by balloon angioplasty. A saphenous bypass from aorta to the right renal artery re-established the renal blood flow. Blood pressure dropped after surgery and was controlled with low doses of diuretic and beta-blocker. After arteriography he presented right haemiplegia, with partial recovering in the following months, In conclusion, we described the first case of Moyamoya disease with concomitant renovascular disease in a young adult of African origin, an association that may be more frequent than usually suspected in clinical practice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 00:38:05