Doença arterial obstrutiva idiopatica (moyamoya): estudo de quatro casos

Mello, Luis Renato

doi:10.1590/S0004-282X1977000300010

Resumos

São relatados quatro casos da doença arterial oclusiva tipo "moyamoya", com comentários a respeito de aspectos clínicos, radiológicos e embriológicos. É enfatizada a importância do estudo radiológico no qual está baseado o diagnóstico da entidade. São considerados importantes o estudo radiológico simples, o local da oclusão, as anomalias vasculares associadas, a circulação colateral e o sítio da rede vascular telangiectásica. A incerteza da etiologia do processo é comentada.

Four cases of the occlusive arterial disease "moyamoya" type, are reported with comments on the clinical, roentgenological and embriological aspects. The clinical onset in all four cases was of isquemic type, in spite of different ages (2 adult male, one young adult female, 1 child female). Some particular symptoms are analysed, mainly the constant complaint of episodes in which the patient is, suddenly, extremely tired. The causes of this episodes are thought to be due to suddenly lowering of the cerebral perfusion in the disease. The importance of the radiological appearance is emphasyzed. The plain roentgenographic films, the site of the occlusion, the associated vascular malformations, the collateral circulation and the site of the vascular nest, are discussed. Some embriologic aspects of the etiology including the variable time onset of the pathologic process are also discussed.

Doença arterial obstrutiva idiopatica (moyamoya): estudo de quatro casos

Idiopathic arterial occlusive disease (moyamoya): report of four cases

Luis Renato Mello

Responsável pelo Serviço de Neurologia e Neurocirurgia, Hospital Santa Isabel, Blumenau, SC

RESUMO

São relatados quatro casos da doença arterial oclusiva tipo "moyamoya", com comentários a respeito de aspectos clínicos, radiológicos e embriológicos. É enfatizada a importância do estudo radiológico no qual está baseado o diagnóstico da entidade. São considerados importantes o estudo radiológico simples, o local da oclusão, as anomalias vasculares associadas, a circulação colateral e o sítio da rede vascular telangiectásica. A incerteza da etiologia do processo é comentada.

SUMMARY

Four cases of the occlusive arterial disease "moyamoya" type, are reported with comments on the clinical, roentgenological and embriological aspects. The clinical onset in all four cases was of isquemic type, in spite of different ages (2 adult male, one young adult female, 1 child female). Some particular symptoms are analysed, mainly the constant complaint of episodes in which the patient is, suddenly, extremely tired. The causes of this episodes are thought to be due to suddenly lowering of the cerebral perfusion in the disease. The importance of the radiological appearance is emphasyzed. The plain roentgenographic films, the site of the occlusion, the associated vascular malformations, the collateral circulation and the site of the vascular nest, are discussed. Some embriologic aspects of the etiology including the variable time onset of the pathologic process are also discussed.

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

Centro de Neurologia e Neurocirurgia - Hospital Santa Isabel - 89100 Blumenau SC - Brasil.

1. BALBO, R.J.; SARIAN, L & SPERLESCU, A. - Doença oclusiva progressiva das artérias cerebrais (moyamoya). Seara Med. Neurocir. 2:166, 1971.
2. BRANDT, R.; TILBERY, C.P. & RODRIGUES, J.R.C. - Doença cerebrovascular tipo "moyamoya". Arq. Neuro-Psiquiatria (São Paulo) 34:267, 1976.
3. CALLIGIONI, F.; ANDRIOLI, G.C.; BRIANI. S. & IRACI G. - Hipoplasia of the internal carotid artery associated with cerebral pseudoagiomatosis. Amer. J. Roentgenel. 112:251. 1975.
4. CARREA, R. & SCHUSTER, P. - Observaciones sobre el síndrome de moyamoya en la infancia. X Symposium Neuroradiologicum Book of Abstracts nş 76. Punta del Este. março de 1974.
5. DEBRUN, G.; SAUVEGRAIN, J.; AICARDI, J. & GOUTIERES, F. - Moyamoya. a nonspecific radiological syndrome. Neuroradiology 4:241, 1975.
6. DILLON, J.D.; STOKES. H & MEIROWSKY. A.M. - Moyamoya disease. Surg. Neurol 3:23.3, 1975.
7. FERRIS, E.J. & LEVINE. HARVEY L. - Cerebral arteritis: classification. Radiology 109:327, 1972.
8. HANDA. J. & HANDA H. - Progressive cerebral arterial occlusive disease: analysis of 27 cases. Neuroradiology 3:119. 1972.
9. HILAL, S.: SOLOMON, G.E.: GOLD, A.P. & CARTER, S. - Primary cerebral arterial occlusive disease in children: neurocutaneous syndromes. Radiology 99:87, 1971.
10. KRAYENBUHL, H.A. - The moyamoya syndrome and the neurosurgeon. Surg. Neurol. 5:353, 1975.
11. KUDO. T. - Spontaneous occlusion of the circle of Willis: a disease apparently confined to Japanese. Neurology (Minneapolis). 18:485, 1968.
12. KIER E.L. - Development of cerebral vessels. In Radiology of the Skull and Brain Angiography. Mosby. St. Louis, Págs. 1089-1130. 1974.
13. LEEDS. M.E. & ABBOTT, K.H. - Collateral circulations in cerebro-vascular disease in childhood via rete mirabile and perforating branches of anterior choroidal and posterior cerebral arteries. Radiology 85:628, 1965.
14. MERIWETHER, R.P.; BARNETT. H.G. & ECHOLS. D.H. - Moyamoya disease as a cause of subarachnoid hemorrahage in a negro patient: case report. J. Neuro-surg. 44:620, 1976.
15. MINAGI. H. & NEWTON, T.H. - Carotid rete mirabile in man: a case report. Radiology 86:100, 1966.
16. NISHIMOTO A. & TAKEUCHI, J. - Abnormal cerebrovascular network related to the internal carotid arteries. J. Neurosurg. 29:255. 1968.
17. PRENSKY, A.L. & DAVIS, O.D. - Obstruction of major cerebral vessels in early childhood without neurological signs. Neurology (Minneapolis) 20:945, 1970.
18. PECKER. J.; SIMON, J.; GUY, G. & MERRY J.F. - Nishimoto's disease: significance of its angiographic appearances. Neuroradiology 4:223. 1973.
19. PICARD. L.; ANDRÉ, J.M.; RENARD. M.; MONTENT J. & TRIDON P. - Reseau admirable carotidien humain: problemes étiologiques et nosologiques. Acta Radiol (Diagn) 13:205, 1972.
20. ROVIRA, M.; TORRENT, O. & ARISTY, M. - The syndrome of Nishimoto Takeuchi (moyamoya disease): acquired or congenital ethiology of the process. X Symposium Neuroradiologicum, Book of Abstracts nş 77, Punta del Este, março 1974.
21. TAVERAS, J. - Multiple progressive intracranial arterial occlusion: a syndrome of children and young adults. Amer. J. Roentgenol. 1106:235. 1969.
22. VAN DAMME, P.; BEECKMAN. P. & VEEBRUGGEN: R. - Moyamoya syndrome probably associated with hydrocephalus. Neuroradiology 9:39. 1974.
23. WAYNE HOUSER. O. & BAKER JR. H. - Fibromuscular dysplasia and other uncommon diseases of the cervical carotid artery: angiographic aspects. Amer. J. Roentgenol. 1106:201, 1968.
24. ZÜLCH. K.J.; DREESBACH, H.A. & ESCHBACH. O. - Occlusion of the middle cerebral artery with the formation of an abnormal arterial collateral system - Moyamoya type - 23 years later. Neuroradiology 1:19. 1974.

Datas de Publicação

Publicação nesta coleção
30 Ago 2012
Data do Fascículo
Set 1977

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] 1. BALBO, R.J.; SARIAN, L & SPERLESCU, A. - Doença oclusiva progressiva das artérias cerebrais (moyamoya). Seara Med. Neurocir. 2:166, 1971.

[2] 2. BRANDT, R.; TILBERY, C.P. & RODRIGUES, J.R.C. - Doença cerebrovascular tipo "moyamoya". Arq. Neuro-Psiquiatria (São Paulo) 34:267, 1976.

[3] 3. CALLIGIONI, F.; ANDRIOLI, G.C.; BRIANI. S. & IRACI G. - Hipoplasia of the internal carotid artery associated with cerebral pseudoagiomatosis. Amer. J. Roentgenel. 112:251. 1975.

[4] 4. CARREA, R. & SCHUSTER, P. - Observaciones sobre el síndrome de moyamoya en la infancia. X Symposium Neuroradiologicum Book of Abstracts nş 76. Punta del Este. março de 1974.

[5] 5. DEBRUN, G.; SAUVEGRAIN, J.; AICARDI, J. & GOUTIERES, F. - Moyamoya. a nonspecific radiological syndrome. Neuroradiology 4:241, 1975.

[6] 6. DILLON, J.D.; STOKES. H & MEIROWSKY. A.M. - Moyamoya disease. Surg. Neurol 3:23.3, 1975.

[7] 7. FERRIS, E.J. & LEVINE. HARVEY L. - Cerebral arteritis: classification. Radiology 109:327, 1972.

[8] 8. HANDA. J. & HANDA H. - Progressive cerebral arterial occlusive disease: analysis of 27 cases. Neuroradiology 3:119. 1972.

[9] 9. HILAL, S.: SOLOMON, G.E.: GOLD, A.P. & CARTER, S. - Primary cerebral arterial occlusive disease in children: neurocutaneous syndromes. Radiology 99:87, 1971.

[10] 10. KRAYENBUHL, H.A. - The moyamoya syndrome and the neurosurgeon. Surg. Neurol. 5:353, 1975.

[11] 11. KUDO. T. - Spontaneous occlusion of the circle of Willis: a disease apparently confined to Japanese. Neurology (Minneapolis). 18:485, 1968.

[12] 12. KIER E.L. - Development of cerebral vessels. In Radiology of the Skull and Brain Angiography. Mosby. St. Louis, Págs. 1089-1130. 1974.

[13] 13. LEEDS. M.E. & ABBOTT, K.H. - Collateral circulations in cerebro-vascular disease in childhood via rete mirabile and perforating branches of anterior choroidal and posterior cerebral arteries. Radiology 85:628, 1965.

[14] 14. MERIWETHER, R.P.; BARNETT. H.G. & ECHOLS. D.H. - Moyamoya disease as a cause of subarachnoid hemorrahage in a negro patient: case report. J. Neuro-surg. 44:620, 1976.

[15] 15. MINAGI. H. & NEWTON, T.H. - Carotid rete mirabile in man: a case report. Radiology 86:100, 1966.

[16] 16. NISHIMOTO A. & TAKEUCHI, J. - Abnormal cerebrovascular network related to the internal carotid arteries. J. Neurosurg. 29:255. 1968.

[17] 17. PRENSKY, A.L. & DAVIS, O.D. - Obstruction of major cerebral vessels in early childhood without neurological signs. Neurology (Minneapolis) 20:945, 1970.

[18] 18. PECKER. J.; SIMON, J.; GUY, G. & MERRY J.F. - Nishimoto's disease: significance of its angiographic appearances. Neuroradiology 4:223. 1973.

[19] 19. PICARD. L.; ANDRÉ, J.M.; RENARD. M.; MONTENT J. & TRIDON P. - Reseau admirable carotidien humain: problemes étiologiques et nosologiques. Acta Radiol (Diagn) 13:205, 1972.

[20] 20. ROVIRA, M.; TORRENT, O. & ARISTY, M. - The syndrome of Nishimoto Takeuchi (moyamoya disease): acquired or congenital ethiology of the process. X Symposium Neuroradiologicum, Book of Abstracts nş 77, Punta del Este, março 1974.

[21] 21. TAVERAS, J. - Multiple progressive intracranial arterial occlusion: a syndrome of children and young adults. Amer. J. Roentgenol. 1106:235. 1969.

[22] 22. VAN DAMME, P.; BEECKMAN. P. & VEEBRUGGEN: R. - Moyamoya syndrome probably associated with hydrocephalus. Neuroradiology 9:39. 1974.

[23] 23. WAYNE HOUSER. O. & BAKER JR. H. - Fibromuscular dysplasia and other uncommon diseases of the cervical carotid artery: angiographic aspects. Amer. J. Roentgenol. 1106:201, 1968.

[24] 24. ZÜLCH. K.J.; DREESBACH, H.A. & ESCHBACH. O. - Occlusion of the middle cerebral artery with the formation of an abnormal arterial collateral system - Moyamoya type - 23 years later. Neuroradiology 1:19. 1974.

Brasil

Brasil

Doença arterial obstrutiva idiopatica (moyamoya): estudo de quatro casos

Idiopathic arterial occlusive disease (Moyamoya): report of four cases

Resumos

Datas de Publicação