|
KMID : 1037620180050010025
|
|
Pediatric Emergency Medicine Journal
2018 Volume.5 No. 1 p.25 ~ p.29
|
|
|
Moyamoya disease in a 3-year-old boy presenting with a focal motor seizure provoked by hyperventilation
|
|
Hwang Soo-Jin
Kim Jung-Heon
Yoon Hee-Mang
Yum Mi-Sun
|
|
|
Abstract
|
|
|
A previously healthy, 3-year-old boy presented to the emergency department with an afebrile focal motor seizure. He was
found crying and having a seizure 30 minutes earlier. During this seizure, he was jerking his head and right extremities.
Subsequent magnetic resonance imaging showed acute infarction in the bilateral frontal lobes, chiefly in the left. After
hospitalization, conventional angiography demonstrated bilateral stenosis of the distal internal carotid arteries with
development of lenticulostriate collaterals, which confirmed the diagnosis of moyamoya disease. It is vital to recognize focal motor seizures and situations related to hyperventilation in children with a seizure, which imply a structural lesion and a provoked cerebral ischemia in preexisting moyamoya disease, respectively.
|
|
|
KEYWORD
|
|
|
Angiography, Emergencies, Hyperventilation, Ischemia, Moyamoya Disease, Seizures, Stroke, Vasoconstriction
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|