Moyamoya syndrome with primary antiphospholipid syndrome.

نویسندگان

  • Mohammed Ali Shuja-Ud-Din
  • Shefeek Abubacker Ahamed
  • Ghassan Baidas
  • Mohammad Naeem
چکیده

OBJECTIVES To report a rare case of moyamoya syndrome with primary antiphospholipid syndrome (APS). CLINICAL PRESENTATION AND INTERVENTION A 41-year-old woman was admitted with sudden onset of left-sided hemiparesis. Magnetic resonance imaging and magnetic resonance angiography of the brain showed characteristic features of moyamoya vessels. Laboratory investigations revealed raised levels of anticardiolipin antibody. She made a complete and uneventful recovery with aspirin and intensive physiotherapy over a period of 2 weeks. CONCLUSION The association of APS and moyamoya disease may present a dilemma in management. While APS is often considered to be an indication for giving anticoagulation, a trial of antiplatelet agents is preferable to anticoagulation because of the risk of bleeding from the fragile moyamoya vessels.

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عنوان ژورنال:
  • Medical principles and practice : international journal of the Kuwait University, Health Science Centre

دوره 15 3  شماره 

صفحات  -

تاریخ انتشار 2006