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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Moyamoya disease presenting with an acute confusional state in an elderly patient.
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Moyamoya disease presenting with an acute confusional state in an elderly patient.

机译：Moyamoya疾病在老年患者中表现为急性精神错乱状态。

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摘要

Moyamoya disease is the angiographic diagnosis of a clinical syndrome showing bilateral stenosis or occlusion of the distal internal carotid arteries and their major branches with extensive parenchymal, leptomeningeal, or transdural anastomoses. The clinical features normally present as reversible ischemic neurologic deficits, sensory-motor attacks with acute hemiplegia, and motor convulsion. An acute confusional state (ACS) among hospitalized patients is a frequent and serious problem. It is characterized by an acute neurologic deficit with a fluctuating course of impaired attention span, unorganized thinking, and altered levels of consciousness. We report a case of 66-year-old woman who presented with an ACS in the emergency department. The subsequent workups including a neuroradiological examination revealed a rare case of moyamoya disease with bifrontal ischemic infarction. The recognition of an ACS as a manifestation of moyamoya disease should therefore be included in the differential diagnosis of elderly patients who present with an acutely altered neuropsychiatric state. A prompt diagnosis may help to select the most appropriate therapy for this rare disorder especially in elderly patients.
机译：Moyamoya疾病是对临床综合征的血管造影诊断，显示双侧狭窄或远端颈内动脉及其主要分支闭塞，并伴有广泛的实质，软脑膜或硬膜硬膜吻合。临床特征通常表现为可逆性缺血性神经功能缺损，急性偏瘫的感觉运动发作和运动惊厥。住院患者中的急性精神错乱状态（ACS）是一个常见且严重的问题。它的特征是急性神经功能缺损，其注意力跨度，思维无序和意识水平改变的过程会发生波动。我们报告了一例66岁妇女在急诊科接受ACS治疗的情况。随后的检查包括神经放射学检查显示出一例罕见的Moyamoya病伴双额脑缺血性梗死。因此，在患有急性精神神经病状态的老年患者的鉴别诊断中应包括对ACS的认可。及时诊断可能有助于为这种罕见疾病（尤其是老年患者）选择最合适的治疗方法。

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