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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Frontiers Media S.A.
2021
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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) |
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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 |
work_keys_str_mv |
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