模拟血管炎的烟雾病的复杂病例：诊断挑战和系统性并发症在一个年轻的成年人

Q4 Medicine

Radiology Case Reports Pub Date : 2025-09-08 DOI:10.1016/j.radcr.2025.08.029

Majd A. AbuAlrob MD , Abdullah Al Qazakzeh MD , Najla Al-Eshaq MD , Ali Aqel MD , Salma Faisal MD , Wanis H Ibrahim MD

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引用次数: 0

摘要

烟雾病（MMD）是一种罕见的慢性脑血管疾病，可以模拟血管炎，使诊断具有挑战性。我们报告一位35岁的菲律宾女性，她患有枕部头痛、左侧面部无力和短暂的左臂麻木。最初CT表现不明显，但MRI显示多灶性缺血性梗死；MRA随后显示双侧MCA和ACA伴侧支血管闭塞，证实烟雾病。实验室检测炎症标志物呈阴性，PET-CT排除血管炎。患者接受了抗血小板治疗和血压控制，但她的过程中并发心肌梗死和急性肾损伤，无法进行手术干预。本病例强调了年轻卒中复发患者早期晚期影像学和综合评估的重要性，以区分烟雾病和血管炎，以便及时和适当的治疗。

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A complex case of moyamoya disease mimicking vasculitis: diagnostic challenges and systemic complications in a young adult

Moyamoya disease (MMD) is a rare, chronic cerebrovascular disorder that can mimic vasculitis, making diagnosis challenging. We present a 35-year-old Filipino woman with occipital headache, left-sided facial weakness, and transient left arm numbness. Initial CT was unremarkable, but MRI showed multifocal ischemic infarcts; MRA later revealed bilateral MCA and ACA occlusions with collateral vessels, confirming MMD. Laboratory testing was negative for inflammatory markers, and PET-CT excluded vasculitis. The patient received antiplatelet therapy and blood pressure control, but her course was complicated by myocardial infarction and acute kidney injury, precluding surgical intervention. This case underscores the importance of early advanced imaging and comprehensive evaluation in young patients with recurrent strokes to distinguish MMD from vasculitis, enabling timely and appropriate management.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.