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KMID : 0882420100790020195
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Korean Journal of Medicine
2010 Volume.79 No. 2 p.195 ~ p.200
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A case of Graves’ disease associated with myasthenia gravis and complicated with moyamoya disease
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Baek Ji-Hun
Kang Hye-Mi
Min Byeng-Do
Gil So-Hyun
Kim Su-Jeong
Oh Byeong-Cheol
Kim Ji-Hye
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Abstract
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Moyamoya disease (MMD) is a cerebrovascular disorder characterized by bilateral stenosis or occlusion of the terminal portions of the internal carotid arteries. MMD is also accompanied by typical net-like collateral vessels in the basal ganglia. Although the etiology of MMD remains unknown, hereditary, immunogenic, and hemodynamic factors have been implicated as underlying mechanisms of MMD. Here, the authors report on one patient with a rare combination of Graves’ disease-associated thyrotoxicosis, myasthenia gravis, and MMD, where cerebrovascular ischemic events occurred during a thyrotoxic state.
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KEYWORD
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Cerebral ischemia, Graves’ disease, Moyamoya disease, Myasthenia gravis, Thyrotoxicosis
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