Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III

Moyamoya disease is a unique chronic progressive cerebrovascular disease characterized by bilateral stenosis or occlusion of the arteries around the circle of Willis with prominent arterial collateral circulation. It can be primary or secondary to genetic syndromes such as Down syndrome. We report a...

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Autores principales:	Hernández Ch,Marta, Huete L,Isidro, Concha G,María-José, Méndez C,José I, Sánchez D,Nicolás, Cuéllar G,María-Carolina, Retamal R,Eva, Mesa L,Tomás
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Antithrombin III deficiency Cerebrovascular Moyamoya disease Down syndrome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800011
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spelling	oai:scielo:S0034-988720090008000112009-11-04Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina IIIHernández Ch,MartaHuete L,IsidroConcha G,María-JoséMéndez C,José ISánchez D,NicolásCuéllar G,María-CarolinaRetamal R,EvaMesa L,Tomás Antithrombin III deficiency Cerebrovascular Moyamoya disease Down syndrome Moyamoya disease is a unique chronic progressive cerebrovascular disease characterized by bilateral stenosis or occlusion of the arteries around the circle of Willis with prominent arterial collateral circulation. It can be primary or secondary to genetic syndromes such as Down syndrome. We report a seven year-old girl with a Down syndrome that presented with a disturbance of consciousness, seizures and a right hemiparesia at the age of five. Magnetic resonance imaging showed old cortical ischemic lesions in both cerebral hemispheres and a recent infarction in the territory of the ¡eft middle cerebral artery. Brain angiography showed a proximal stenosis of both medial cerebral arteries and a net of collateral vessels, consistent with the diagnosis of moyamoya syndrome. The patient had also an antithrombin III deficiency. Aspirin was indicated and a surgical correction was recommended. However, prior to the procedure, the patient had a new infarction in the territory of the right middle cerebral artery, which caused a severe disability.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.8 20092009-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800011es10.4067/S0034-98872009000800011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Antithrombin III deficiency Cerebrovascular Moyamoya disease Down syndrome
spellingShingle	Antithrombin III deficiency Cerebrovascular Moyamoya disease Down syndrome Hernández Ch,Marta Huete L,Isidro Concha G,María-José Méndez C,José I Sánchez D,Nicolás Cuéllar G,María-Carolina Retamal R,Eva Mesa L,Tomás Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III
description	Moyamoya disease is a unique chronic progressive cerebrovascular disease characterized by bilateral stenosis or occlusion of the arteries around the circle of Willis with prominent arterial collateral circulation. It can be primary or secondary to genetic syndromes such as Down syndrome. We report a seven year-old girl with a Down syndrome that presented with a disturbance of consciousness, seizures and a right hemiparesia at the age of five. Magnetic resonance imaging showed old cortical ischemic lesions in both cerebral hemispheres and a recent infarction in the territory of the ¡eft middle cerebral artery. Brain angiography showed a proximal stenosis of both medial cerebral arteries and a net of collateral vessels, consistent with the diagnosis of moyamoya syndrome. The patient had also an antithrombin III deficiency. Aspirin was indicated and a surgical correction was recommended. However, prior to the procedure, the patient had a new infarction in the territory of the right middle cerebral artery, which caused a severe disability.
author	Hernández Ch,Marta Huete L,Isidro Concha G,María-José Méndez C,José I Sánchez D,Nicolás Cuéllar G,María-Carolina Retamal R,Eva Mesa L,Tomás
author_facet	Hernández Ch,Marta Huete L,Isidro Concha G,María-José Méndez C,José I Sánchez D,Nicolás Cuéllar G,María-Carolina Retamal R,Eva Mesa L,Tomás
author_sort	Hernández Ch,Marta
title	Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III
title_short	Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III
title_full	Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III
title_fullStr	Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III
title_full_unstemmed	Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III
title_sort	síndrome moyamoya en paciente con síndrome de down y déficit de antitrombina iii
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000800011
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Síndrome moyamoya en paciente con síndrome de Down y déficit de antitrombina III

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