A thyroid storm causing strokes and unmasking moyamoya
Moyamoya disease is a rare progressive cerebrovascular condition that affects the internal carotid arteries and their major branches. This leads to the formation of a networks of collateral moyamoya vessels and can cause ischemic or hemorrhagic complications. Moyamoya syndrome is a secondary conditi...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325002596 |
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| author | Christian Burgos-Sanchez, MD Eudoxie Bataba, MD Justin Costello, MD Daniel Bess, MD Erik Dedekam, MD |
| author_facet | Christian Burgos-Sanchez, MD Eudoxie Bataba, MD Justin Costello, MD Daniel Bess, MD Erik Dedekam, MD |
| author_sort | Christian Burgos-Sanchez, MD |
| collection | DOAJ |
| description | Moyamoya disease is a rare progressive cerebrovascular condition that affects the internal carotid arteries and their major branches. This leads to the formation of a networks of collateral moyamoya vessels and can cause ischemic or hemorrhagic complications. Moyamoya syndrome is a secondary condition that presents with moyamoya vessels and is associated with other underlying causes including Down syndrome, sickle cell anemia, intracranial atherosclerosis or thyroid disease. In this case report, we discuss a 29-year-old female with Grave's disease who presented with recurrent headaches, acute intermittent numbness and paresthesia. Radiologic evaluation showed multifocal intracranial infarcts and stenosis of the bilateral internal carotid arteries and decreased caliber of the distal anterior circulation. This case highlights the importance of considering MMD/MMS as a differential diagnosis in patients suffering from headaches and/or seizures, especially in the third or fourth decades of life. Prompt diagnosis and management leads to favorable outcomes in patients with moyamoya. |
| format | Article |
| id | doaj-art-b73bccea9baa488896f6bc9ba3f27b30 |
| institution | OA Journals |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-b73bccea9baa488896f6bc9ba3f27b302025-08-20T01:50:01ZengElsevierRadiology Case Reports1930-04332025-07-012073388339210.1016/j.radcr.2025.03.050A thyroid storm causing strokes and unmasking moyamoyaChristian Burgos-Sanchez, MD0Eudoxie Bataba, MD1Justin Costello, MD2Daniel Bess, MD3Erik Dedekam, MD4Department of Radiology, Madigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431, USA; Corresponding author.Department of Radiology, Madigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431, USADepartment of Radiology, UT Southwestern Medical Ctr, 5323 Harry Hines Blvd, Dallas, TX 75390, USADepartment of Radiology, Madigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431, USADepartment of Radiology, Madigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431, USAMoyamoya disease is a rare progressive cerebrovascular condition that affects the internal carotid arteries and their major branches. This leads to the formation of a networks of collateral moyamoya vessels and can cause ischemic or hemorrhagic complications. Moyamoya syndrome is a secondary condition that presents with moyamoya vessels and is associated with other underlying causes including Down syndrome, sickle cell anemia, intracranial atherosclerosis or thyroid disease. In this case report, we discuss a 29-year-old female with Grave's disease who presented with recurrent headaches, acute intermittent numbness and paresthesia. Radiologic evaluation showed multifocal intracranial infarcts and stenosis of the bilateral internal carotid arteries and decreased caliber of the distal anterior circulation. This case highlights the importance of considering MMD/MMS as a differential diagnosis in patients suffering from headaches and/or seizures, especially in the third or fourth decades of life. Prompt diagnosis and management leads to favorable outcomes in patients with moyamoya.http://www.sciencedirect.com/science/article/pii/S1930043325002596Moyamoya syndromeIntracranial infarctStrokeNeuroradiologyCTMRI |
| spellingShingle | Christian Burgos-Sanchez, MD Eudoxie Bataba, MD Justin Costello, MD Daniel Bess, MD Erik Dedekam, MD A thyroid storm causing strokes and unmasking moyamoya Radiology Case Reports Moyamoya syndrome Intracranial infarct Stroke Neuroradiology CT MRI |
| title | A thyroid storm causing strokes and unmasking moyamoya |
| title_full | A thyroid storm causing strokes and unmasking moyamoya |
| title_fullStr | A thyroid storm causing strokes and unmasking moyamoya |
| title_full_unstemmed | A thyroid storm causing strokes and unmasking moyamoya |
| title_short | A thyroid storm causing strokes and unmasking moyamoya |
| title_sort | thyroid storm causing strokes and unmasking moyamoya |
| topic | Moyamoya syndrome Intracranial infarct Stroke Neuroradiology CT MRI |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325002596 |
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