모야모야병과 동반된 신 동맥 협착에 따른 신성 고혈압을 보인 1례 = A Case of Renovascular Hypertension Due to Renal Artey Stenosis Related to Moyamoya Disease

다국어 초록 (Multilingual Abstract)

Moyamoya disease is a progressive cerebrovascular disorder with stenosis or occlusion of the bilateral internal carotid arteries with abnormal vascular networks at the base of the brain. Previous reports have shown that there are extracranial vascular involvements in Moyamoya disease, especially in the renal artery. We report a 7-year-old patient with Moyamoya disease associated with renovascular hyper tension, who presented in infancy with seizures and hemiparesis. Renal angiography showed multiple stenoses of the right renal artery. Although renal artery stenosis in Moyamoya disease has been effectively treated with balloon angioplasty, stent implantation, or surgery, bat-loon angioplasty could not be done in this patient due to multiple stenoses. His blood pressure was successfully controlled with medical treatment, and remained normotensive during the follow up period of 6 months.

참고문헌 (Reference)

1 "Systemic vascular changes in spontaneous occlusion of the circle of Willis" 1358-62, ikedae

2 Shoskes DA, "Surgical treatment of renovascular hypertension in moyamoya disease: case report and review of the literature" 153 : 450-452, 1995.02

3 Halley SE, "Renovascular hypertension in moyamoya syndrome Therapeutic response to percutaneous transluminal angioplasty" 348-52, amjhypertens1988;1

4 Choi Y, "Renovascular hypertension in children with moyamoya disease" 131 : 258-263, 1997

5 Yamada I, "Renal artery lesions in patients with moyamoya disease: angiographic findings" 31 : 733-737, 2000

6 Togao O, "Prevalence of stenoocclusive lesions in the renal and abdominal arteries in moyamoya disease" 183 : 119-122, 2004

7 Wells TG, "Pediatric renovascular hypertension" 8 : 128-134, 1996

8 Kuwayama F, "Moyamoya disease complicated with renal artery stenosis and nephrotic syndrome: reversal of nephrotic syndrome after nephrectomy" 138 : 418-420, 2001.03

9 "Moyamoya disease associated with renovascular hypertension" 44-7, neuropediatrics1990;21

10 Fuchs FD, "Moyamoya disease associated with renovascular disease in a young African-Brazilian patient" 15 : 499-501, 2001

11 Hoshino Y, "Intravascular ultrasound detects coarctation of the renal artery in a patient with Moyamoya disease" 24 : 283-287, 2001

12 Suzuki J, "Disease showing abnormal net-like vessels in base of brain" 288-99,

13 Rupprecht T, "Diagnosis of moyamoya disease with additional renal artery stenosis by colour coded Doppler sonography" 527-8, pediatrradiol1992;22