Acute Ischemic Stroke in Moyamoya Disease Associated With
Thyrotoxic Crisis

J Korean Neurol Assoc > Volume 32(2); 2014 > Article

Journal of the Korean Neurological Association 2014;32(2): 95-97.

갑상선독성발작과 연관된 모야모야병의 급성뇌경색

신동원, 서재영 이정곤 김지선 이경복 노학재 안무영

순천향대학교 의과대학 순천향대학교 서울병원 신경과

Acute Ischemic Stroke in Moyamoya Disease Associated With Thyrotoxic Crisis

Dong-Won Shin

Department of Neurology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea

Abstract

There are several documented cases of coexistence of Graves’ disease and Moyamoya disease, but an association between thyrotoxicosis and Moyamoya disease is largely unknown. A 32-year-old woman presented with impaired consciousness and left hemiparesis. Brain magnetic resonance imaging revealed acute infarction in the territory of the bilateral anterior cerebral arteries and occlusion of both internal carotid arteries. Antithyroid medication improved the patient’s consciousness. Thyrotoxicosis could be a cause of acute infarction in patients with Moyamoya disease.