뇌경색을 수반한 Moyamoya Disease 1례
A Case Report of Moyamoya Disease combined with Cerebral Infarct

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서울대학교 의과대학
Seoul J Med 1990;21(1):92-98
Moyamoya disease, characterized by stenosis or
occlusion of vessels in and around the circle of Willis
in association with a telangiectatic networks of vessels
emanating from the base of brain was first observed
among the Japanese by Kudo in 1956. In 1969,
Suzuki & Takaku introduced the cerebrovascular
moyamoya disease as a clinical entity, which means
characteristic cerebral angiographic features only in
Japanese. But recently it is generally accepted that
the disease is not confined only to the Japanese, but
is distributed world widely.
A 26-year-old nonhypertensive Korean man was
admitted to the Department of Neurology with intractable
headache associated with left hemiparesis,
slight dysarthria, mental changes and left sided
Babinski sign. Laboratory showed normal CSF findings.
A transfemoral carotid angiography showed
occlusion of suprac linoid portion of left carotid artery
and of right anterior & middle cerebral arteries,
with marked enlargement of left lenticulostriate artery
and left anterior choroid artery. There was also
a mass of telangiectatic networks of abnormal vessels
in the base of brain. In vertebral angiography, spared
posterior cerebral arteries caused retrograde fillings
of anterior cerebral artery territory via posterior
pericallosal arteries.
Brain computerized axial tomogram showed the
large areas of low density in right temporoparietal
areas contiguous with occipital horn of lateral ventricle,
and the enlarged ventricular systems supratentorially
and prominent sulci, more marked in right
cerebral hemisphere. But there was no midline shift
or abnormal enhancement.
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 21 No.1 (1980)
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