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Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]

Moyamoya disease (MMD) is a rare intracranial vasculopathy characterized by the progressive occlusion of the terminal internal carotid arteries and their proximal branches. Various factors including genetic and inflammation are the proposed pathogenesis of MMD. We present a case of a 31-year-old man...

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Main Authors: Ibrahim, Nurfauzani, Baharudin, Noorhida, Hashim, Hilwati, Jaya Raman, Thinesh Kumaran, Mohamed-Yassin, Mohamed-Syarif
Format: Article
Language:English
Published: Faculty of Medicine 2022
Subjects:
Diseases of the central nervous system
Diseases of the brain
Online Access:https://ir.uitm.edu.my/id/eprint/70501/1/70501.pdf
https://ir.uitm.edu.my/id/eprint/70501/
https://doi.org/10.24191/jchs.v7i1.12232
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spelling my.uitm.ir.705012022-11-21T23:39:39Z https://ir.uitm.edu.my/id/eprint/70501/ Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.] Ibrahim, Nurfauzani Baharudin, Noorhida Hashim, Hilwati Jaya Raman, Thinesh Kumaran Mohamed-Yassin, Mohamed-Syarif Diseases of the central nervous system Diseases of the brain Moyamoya disease (MMD) is a rare intracranial vasculopathy characterized by the progressive occlusion of the terminal internal carotid arteries and their proximal branches. Various factors including genetic and inflammation are the proposed pathogenesis of MMD. We present a case of a 31-year-old man who had recurrent stroke secondary to MMD. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated an infarct in the right middle cerebral artery (MCA) territory, and stenosis of the terminal right internal carotid artery (ICA) and its proximal branches. He initially declined surgical management and was treated with antiplatelet. After his third stroke, he finally underwent right superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery. He improved following rehabilitation with no further recurrence. The role of surgical revascularization in the prevention of stroke is well-described in the literature but evidence regarding medical therapy remain scarce and will be explored in this report. Faculty of Medicine 2022-03 Article PeerReviewed text en https://ir.uitm.edu.my/id/eprint/70501/1/70501.pdf Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]. (2022) Journal of Clinical and Health Sciences (JCHS), 7 (1). pp. 67-72. ISSN 0127-984X https://doi.org/10.24191/jchs.v7i1.12232
institution Universiti Teknologi Mara
building Tun Abdul Razak Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Teknologi Mara
content_source UiTM Institutional Repository
url_provider http://ir.uitm.edu.my/
language English
topic Diseases of the central nervous system
Diseases of the brain
spellingShingle Diseases of the central nervous system
Diseases of the brain
Ibrahim, Nurfauzani
Baharudin, Noorhida
Hashim, Hilwati
Jaya Raman, Thinesh Kumaran
Mohamed-Yassin, Mohamed-Syarif
Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]
description Moyamoya disease (MMD) is a rare intracranial vasculopathy characterized by the progressive occlusion of the terminal internal carotid arteries and their proximal branches. Various factors including genetic and inflammation are the proposed pathogenesis of MMD. We present a case of a 31-year-old man who had recurrent stroke secondary to MMD. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated an infarct in the right middle cerebral artery (MCA) territory, and stenosis of the terminal right internal carotid artery (ICA) and its proximal branches. He initially declined surgical management and was treated with antiplatelet. After his third stroke, he finally underwent right superficial temporal artery (STA) to middle cerebral artery (MCA) bypass surgery. He improved following rehabilitation with no further recurrence. The role of surgical revascularization in the prevention of stroke is well-described in the literature but evidence regarding medical therapy remain scarce and will be explored in this report.
format Article
author Ibrahim, Nurfauzani
Baharudin, Noorhida
Hashim, Hilwati
Jaya Raman, Thinesh Kumaran
Mohamed-Yassin, Mohamed-Syarif
author_facet Ibrahim, Nurfauzani
Baharudin, Noorhida
Hashim, Hilwati
Jaya Raman, Thinesh Kumaran
Mohamed-Yassin, Mohamed-Syarif
author_sort Ibrahim, Nurfauzani
title Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]
title_short Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]
title_full Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]
title_fullStr Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]
title_full_unstemmed Recurrent stroke in a young man with Moyamoya Disease on medical therapy: a case report / Nurfauzani Ibrahim ... [et al.]
title_sort recurrent stroke in a young man with moyamoya disease on medical therapy: a case report / nurfauzani ibrahim ... [et al.]
publisher Faculty of Medicine
publishDate 2022
url https://ir.uitm.edu.my/id/eprint/70501/1/70501.pdf
https://ir.uitm.edu.my/id/eprint/70501/
https://doi.org/10.24191/jchs.v7i1.12232
_version_ 1751540022589259776
score 13.211869

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