Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A

To the best of our knowledge, we report a case of MEN2A complicated by moyamoya syndrome. A 52-year-old woman presented with vertigo. Magnetic resonance angiography (MRA) revealed bilateral supraclinoid stenosis of the internal carotid artery and abnormal moyamoya-like vessels around the basal gangl...

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Autores principales: Fumihiro Matano, Yasuo Murai, Atsushi Watanabe, Kazutaka Shirokane, Takehito Igarashi, Kazuo Shimizu, Takashi Shimada, Akio Morita
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/d772d73b296d4e7ba2289e41f47a8827
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spelling oai:doaj.org-article:d772d73b296d4e7ba2289e41f47a88272021-11-11T08:29:56ZCase Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A1664-239210.3389/fendo.2021.703410https://doaj.org/article/d772d73b296d4e7ba2289e41f47a88272021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.703410/fullhttps://doaj.org/toc/1664-2392To the best of our knowledge, we report a case of MEN2A complicated by moyamoya syndrome. A 52-year-old woman presented with vertigo. Magnetic resonance angiography (MRA) revealed bilateral supraclinoid stenosis of the internal carotid artery and abnormal moyamoya-like vessels around the basal ganglia. She had a heterozygous variant of RNF213, which is the susceptibility gene for moyamoya disease. She had also previously received diagnoses of medullary thyroid carcinoma (MTC) at age 23 and left-sided pheochromocytoma (PHEO) at age 41. Genetic testing revealed heterozygosity for a mutation at codon 634 in exon 11 (TGC-TTC mutation; p.Cys634Phe) of the Ret gene. Intracranial vascular stenosis may have been caused by a genetic mutation of RNF213 and hypersecretion of catecholamines by MEN2A. Physicians should recognize that MEN2A can be present with moyamoya syndrome.Fumihiro MatanoYasuo MuraiAtsushi WatanabeKazutaka ShirokaneTakehito IgarashiKazuo ShimizuTakashi ShimadaAkio MoritaFrontiers Media S.A.articleMEN2Amoyamoya syndromepheochromocytomaRET geneRNF-213Diseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic MEN2A
moyamoya syndrome
pheochromocytoma
RET gene
RNF-213
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle MEN2A
moyamoya syndrome
pheochromocytoma
RET gene
RNF-213
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Fumihiro Matano
Yasuo Murai
Atsushi Watanabe
Kazutaka Shirokane
Takehito Igarashi
Kazuo Shimizu
Takashi Shimada
Akio Morita
Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A
description To the best of our knowledge, we report a case of MEN2A complicated by moyamoya syndrome. A 52-year-old woman presented with vertigo. Magnetic resonance angiography (MRA) revealed bilateral supraclinoid stenosis of the internal carotid artery and abnormal moyamoya-like vessels around the basal ganglia. She had a heterozygous variant of RNF213, which is the susceptibility gene for moyamoya disease. She had also previously received diagnoses of medullary thyroid carcinoma (MTC) at age 23 and left-sided pheochromocytoma (PHEO) at age 41. Genetic testing revealed heterozygosity for a mutation at codon 634 in exon 11 (TGC-TTC mutation; p.Cys634Phe) of the Ret gene. Intracranial vascular stenosis may have been caused by a genetic mutation of RNF213 and hypersecretion of catecholamines by MEN2A. Physicians should recognize that MEN2A can be present with moyamoya syndrome.
format article
author Fumihiro Matano
Yasuo Murai
Atsushi Watanabe
Kazutaka Shirokane
Takehito Igarashi
Kazuo Shimizu
Takashi Shimada
Akio Morita
author_facet Fumihiro Matano
Yasuo Murai
Atsushi Watanabe
Kazutaka Shirokane
Takehito Igarashi
Kazuo Shimizu
Takashi Shimada
Akio Morita
author_sort Fumihiro Matano
title Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A
title_short Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A
title_full Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A
title_fullStr Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A
title_full_unstemmed Case Report: A Case of Moyamoya Syndrome Associated With Multiple Endocrine Neoplasia Type 2A
title_sort case report: a case of moyamoya syndrome associated with multiple endocrine neoplasia type 2a
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/d772d73b296d4e7ba2289e41f47a8827
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