Occlusion of Internal Carotid Artery in Kimura's Disease

We describe a unique case of Kimura's disease in which cerebral infarction was caused by occlusion of the right internal carotid artery. A 25-year-old man with Kimura's disease was admitted to our hospital because of left hemiparesis. Computed tomography and magnetic resonance imaging of t...

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Main Authors: Tomonori Tamaki, Node Yoji
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/407538
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author Tomonori Tamaki
Node Yoji
author_facet Tomonori Tamaki
Node Yoji
author_sort Tomonori Tamaki
collection DOAJ
description We describe a unique case of Kimura's disease in which cerebral infarction was caused by occlusion of the right internal carotid artery. A 25-year-old man with Kimura's disease was admitted to our hospital because of left hemiparesis. Computed tomography and magnetic resonance imaging of the head showed infarction in the right frontal and temporal lobes. Cerebral angiography demonstrated right internal carotid artery occlusion affecting the C1 segment, with moyamoya-like collateral vessels arising from the right opthalamic artery. Kimura's disease is a chronic disease characterized by the clinical triad of slowly enlarging subcutaneous masses with lymphoid hyperplasia in the head and neck. It often occurs in young Asian men. In our patient, the pathogenesis of internal carotid artery occlusion was unknown. There have only been a few case reports in which occlusion of the internal carotid artery was associated with autoimmune disease, and no previous cases of internal carotid occlusion associated with Kimura's disease have been reported. We suspected that occlusion of this patient's internal carotid artery may be caused by the autoimmune mechanism that underlies Kimura's disease.
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spelling doaj-art-5820091b4c1845fc8fc1efbcd34c967c2025-02-03T05:44:41ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/407538407538Occlusion of Internal Carotid Artery in Kimura's DiseaseTomonori Tamaki0Node Yoji1Department of Neurosurgery, Tamanagayama Hospital, Nippon Medical School, Tokyo 206-8512, JapanDepartment of Neurosurgery, Tamanagayama Hospital, Nippon Medical School, Tokyo 206-8512, JapanWe describe a unique case of Kimura's disease in which cerebral infarction was caused by occlusion of the right internal carotid artery. A 25-year-old man with Kimura's disease was admitted to our hospital because of left hemiparesis. Computed tomography and magnetic resonance imaging of the head showed infarction in the right frontal and temporal lobes. Cerebral angiography demonstrated right internal carotid artery occlusion affecting the C1 segment, with moyamoya-like collateral vessels arising from the right opthalamic artery. Kimura's disease is a chronic disease characterized by the clinical triad of slowly enlarging subcutaneous masses with lymphoid hyperplasia in the head and neck. It often occurs in young Asian men. In our patient, the pathogenesis of internal carotid artery occlusion was unknown. There have only been a few case reports in which occlusion of the internal carotid artery was associated with autoimmune disease, and no previous cases of internal carotid occlusion associated with Kimura's disease have been reported. We suspected that occlusion of this patient's internal carotid artery may be caused by the autoimmune mechanism that underlies Kimura's disease.http://dx.doi.org/10.1155/2010/407538
spellingShingle Tomonori Tamaki
Node Yoji
Occlusion of Internal Carotid Artery in Kimura's Disease
Case Reports in Medicine
title Occlusion of Internal Carotid Artery in Kimura's Disease
title_full Occlusion of Internal Carotid Artery in Kimura's Disease
title_fullStr Occlusion of Internal Carotid Artery in Kimura's Disease
title_full_unstemmed Occlusion of Internal Carotid Artery in Kimura's Disease
title_short Occlusion of Internal Carotid Artery in Kimura's Disease
title_sort occlusion of internal carotid artery in kimura s disease
url http://dx.doi.org/10.1155/2010/407538
work_keys_str_mv AT tomonoritamaki occlusionofinternalcarotidarteryinkimurasdisease
AT nodeyoji occlusionofinternalcarotidarteryinkimurasdisease