Acute Confusional State Revealing Moyamoya Disease in the Emergency Department: A Rare Entity
  • Javier Guerrero-Niño
    Emergency Unit Department, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Sarah Uge-Ginsberg
    Emergency Unit Department, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Pierre Marcueyz
    Emergency Unit Department, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Pierrick Le Borgne
    Emergency Unit Department, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Xavier Jannot
    Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
  • Noel Lorenzo-Villalba
    Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, Strasbourg, France

Keywords

Confusional state, magnetic resonance imaging, moyamoya disease

Abstract

A 54-year-old woman was admitted to the emergency department for an acute, fluctuating altered mental status and reduced perceptual awareness of her surroundings as well as disorganized thinking. Blood tests, including for drugs, were normal. A CT scan of the brain was normal. Magnetic resonance imaging and CT angiography of the supra-aortic vessels were both were consistent with moyamoya disease. The patient was hospitalized for further investigations.

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References

  • Roche V. Southwestern Internal Medicine Conference. Etiology and management of delirium. Am J Med Sci 2003;325:20.
  • Oldenbeuving AW, de Kort PL, Jansen BP, Algra A, Kappelle LJ, Roks G. Delirium in the acute phase after stroke: incidence, risk factors, and outcome. Neurology 2011;76(11):993–999.
  • Kim JS. Moyamoya disease: epidemiology, clinical features, and diagnosis. J Stroke 2016;18:2.
  • Roach ES, Golomb MR, Adams R, Biller J, Daniels S, Deveber G, et al; American Heart Association Stroke Council; Council on Cardiovascular Disease in the Young. Management of stroke in infants and children: a scientific statement from a Special Writing Group of the American Heart Association Stroke Council and the Council on Cardiovascular Disease in the Young. Stroke 2008;39(9):2644–2691.
  • Azizyan A, Sanossian N, Mogensen MA, Liebeskind DS. Fluid-attenuated inversion recovery vascular hyperintensities: an important imaging marker for cerebrovascular disease. AJNR Am J Neuroradiol 2011;32:1771.
  • Yu X, Yuan L, Jackson A, Sun J, Huang P, Xu X, et al. Prominence of medullary veins on susceptibility-weighted images provides prognostic information in patients with subacute stroke. AJNR Am J Neuroradiol 2016;37(3):423–429.
  • Research Committee on the Pathology and Treatment of Spontaneous Occlusion of the Circle of Willis, Health Labour Sciences Research Grant for Research on Measures for Infractable Diseases. Guidelines for diagnosis and treatment of moyamoya disease (spontaneous occlusion of the circle of Willis). Neurol Med Chir (Tokyo) 2012;52:245.

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    Published: 2021-03-17
    Issue: 2021: Vol 8 No 3 (view)

    How to cite:
    1.
    Guerrero-Niño J, Uge-Ginsberg S, Marcueyz P, Le Borgne P, Jannot X, Lorenzo-Villalba N. Acute Confusional State Revealing Moyamoya Disease in the Emergency Department: A Rare Entity. EJCRIM 2021;8 doi:10.12890/2021_002431.

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