Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report

Moyamoya disease (MMD) is a cerebrovascular disorder characterized by progressive occlusion of intracranial arteries, often leading to stroke and intracerebral hemorrhage. While MMD classically affects the intracranial vasculature, we present an unusual case of bilateral vertebral steno-occlusion, r...

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Main Authors: Omar Alwakaa, Felipe Ramirez-Velandia, Jean Filo, Michael Young, Christopher S. Ogilvy, Justin H. Granstein
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Brain Circulation
Subjects:
Online Access:https://journals.lww.com/10.4103/bc.bc_37_24
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author Omar Alwakaa
Felipe Ramirez-Velandia
Jean Filo
Michael Young
Christopher S. Ogilvy
Justin H. Granstein
author_facet Omar Alwakaa
Felipe Ramirez-Velandia
Jean Filo
Michael Young
Christopher S. Ogilvy
Justin H. Granstein
author_sort Omar Alwakaa
collection DOAJ
description Moyamoya disease (MMD) is a cerebrovascular disorder characterized by progressive occlusion of intracranial arteries, often leading to stroke and intracerebral hemorrhage. While MMD classically affects the intracranial vasculature, we present an unusual case of bilateral vertebral steno-occlusion, resulting in vertebrobasilar insufficiency in a 37-year-old man with MMD and treated with angioplasty and stenting of the dominant vertebral artery. Review of the literature demonstrates proximal vertebral artery involvement to be a rare manifestation of moyamoya disease. This report contributes to the understanding of the clinical spectrum of MMD and emphasizes the need for vigilance and awareness of the possibility of extracranial vascular complications in affected individuals.
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institution Kabale University
issn 2455-4626
language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Brain Circulation
spelling doaj-art-a24e072b75c84468802808f4e53772c42025-01-07T05:14:07ZengWolters Kluwer Medknow PublicationsBrain Circulation2455-46262024-12-0110437237710.4103/bc.bc_37_24Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case reportOmar AlwakaaFelipe Ramirez-VelandiaJean FiloMichael YoungChristopher S. OgilvyJustin H. GransteinMoyamoya disease (MMD) is a cerebrovascular disorder characterized by progressive occlusion of intracranial arteries, often leading to stroke and intracerebral hemorrhage. While MMD classically affects the intracranial vasculature, we present an unusual case of bilateral vertebral steno-occlusion, resulting in vertebrobasilar insufficiency in a 37-year-old man with MMD and treated with angioplasty and stenting of the dominant vertebral artery. Review of the literature demonstrates proximal vertebral artery involvement to be a rare manifestation of moyamoya disease. This report contributes to the understanding of the clinical spectrum of MMD and emphasizes the need for vigilance and awareness of the possibility of extracranial vascular complications in affected individuals.https://journals.lww.com/10.4103/bc.bc_37_24extracranialischemic strokemoyamoya diseasestentingvertebral artery occlusionvertebrobasilar insufficiency
spellingShingle Omar Alwakaa
Felipe Ramirez-Velandia
Jean Filo
Michael Young
Christopher S. Ogilvy
Justin H. Granstein
Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report
Brain Circulation
extracranial
ischemic stroke
moyamoya disease
stenting
vertebral artery occlusion
vertebrobasilar insufficiency
title Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report
title_full Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report
title_fullStr Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report
title_full_unstemmed Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report
title_short Moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries: A case report
title_sort moyamoya disease manifesting with bilateral involvement of the proximal vertebral arteries a case report
topic extracranial
ischemic stroke
moyamoya disease
stenting
vertebral artery occlusion
vertebrobasilar insufficiency
url https://journals.lww.com/10.4103/bc.bc_37_24
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