OJMN  Vol.2 No.4 , October 2012
Involuntary Movements Induced and Remitted by Indirect Bypass Surgery in a Patient with Moyamoya Disease
ABSTRACT
Involuntary movement is an uncommon manifestation of moyamoya disease. We describe a 12-year-old boy who suffered from involuntary movement after the first surgery but it improved dramatically after the second surgery. Initially, the patient underwent an encephalo-duro-arterio-myosynangiosis on the right side and encephalo-duro-periostealsynangiosis on the bifrontal side, which ameliorated his motor weakness in his left upper extremity. However, involuntary movement appeared in his right upper extremity. Secondly, the patient underwent encephalo-duro-arterio-myo-periostealsynangiosis on the left side. Thereafter, the patient’s involuntary movement completely resolved. The involuntary movement might occur due to the unequal distribution of the blood flow in the basal ganglia.

Cite this paper
T. Yanagawa, T. Horiuchi, Y. Hara, Y. Fujii and K. Hongo, "Involuntary Movements Induced and Remitted by Indirect Bypass Surgery in a Patient with Moyamoya Disease," Open Journal of Modern Neurosurgery, Vol. 2 No. 4, 2012, pp. 71-74. doi: 10.4236/ojmn.2012.24015.
References
[1]   S.-H. Im, C. W. Oh, O.-K. Kwon, B.-K. Cho, Y.-S. Chung and D. H. Han, “Involuntary Movement Induced by Cerebral Ischemia: Pathogenesis and Surgical Outcome,” Journal of Neurosurgery, Vol. 100, No. 5, 2004, pp. 877-882. doi:10.3171/jns.2004.100.5.0877

[2]   J. H. Park, S. Y. Yang, Y. N. Chung, J. E. Kim, S. K. Kim, D. H. Han and B. K. Cho, “Modified Encephaloduroarteriosynangiosis with Bifrontal Encephalogaleoperiosteal Synangiosis for the Treatment of Pediatric Moyamoya Disease. Technical Note,” Journal of Neurosurgery, Vol. 106, No. 3, 2007, pp. 237-242.

[3]   G. E. Alexander and M. D. Crutcher, “Functional Architecture of Basal Ganglia Circuits: Neural Substrates of Parallel Processing,” Trends in Neurosciences, Vol. 13, No. 7, 1990, pp. 266-271. doi:10.1016/0166-2236(90)90107-L

[4]   G. E. Alexander, M. R. De Long and P. L. Strick, “Parallel Organization of Functionally Segregated Circuits Linking Basal Ganglia and Cortex,” Annual Review of Neuroscience,Vol. 9, 1986, pp. 357-381. doi:10.1146/annurev.neuro.9.1.357

[5]   S. H. Han, Y. G. Kim, S. H. Cha and S. Y. Chung, “Moyamoya Disease Presenting with Singing Induced Chorea,” Journal of Neurology, Neurosurg & Psychiatry, Vol. 69, No. 6, 2000, pp. 833-834. doi:10.1136/jnnp.69.6.833

[6]   Y. H. Hong, T. B. Ahn, C. W. Oh and B. S. Jeon, “Hemichorea as an Initial Manifestation of Moyamoya Disease: Reversible Striatal Hypoperfusion Demonstrated on Single Photon Emission Computed Tomography,” Movement Disorders, Vol. 17, No. 6, 2002, pp. 13801383. doi:10.1002/mds.10245

[7]   K. Nakano, T. Kayahara, T. Tsutsumi and H. Ushiro, “Neural Circuits and Functional Organization of the Striatum,” Journal of Neurology, Vol. 247, 2000, pp. V1V15. doi:10.1007/PL00007778

[8]   M. Hosoya, “Moyamoya Disease Presenting Initially with Mental Disturbance,” No to Hattatsu, Vol. 29, No. 6, 1997, pp. 471-475.

[9]   K. Kamijo and T. Matsui, “Dramatic Disappearance of Moyamoya Disease-Induced Chorea after Indirect Bypass Surgery,” Neurologia Medico-Chirurgica, Vol. 48, No. 9, 2008, pp. 390-393. doi:10.2176/nmc.48.390

[10]   Y. O. Kim, T. S. Kim, Y. J. Woo, C. J. Kim and C. K. Oh, “Moyamoya Disease-Induced Hemichorea Corrected by Indirect Bypass Surgery,” Pediatrics International, Vol. 48, No. 5, 2006, pp. 504-506. doi:10.1111/j.1442-200X.2006.02248.x

[11]   C. H. Lyoo, S. H. Oh, J. Y. Joo, T. S. Chung and M. S. Lee, “Hemidystonia and Hemichoreoathetosis as an Initial Manifestation of Moyamoya Disease,” Archives of Neurology, Vol. 57, No. 10, 2000, pp. 1510-1512. doi:10.1001/archneur.57.10.1510

[12]   T. Miura, M. Kobayashi, M. Sonoo, K. Isii and T. Shimizu, “An Adult Case of Moyamoya Disease Presenting with Transient Hemichorea,” Rinsho Shinkeigaku, Vol. 42, No. 1, 2002, pp. 45-47.

[13]   K. Spengos, G. Tsivgoulis, P. Toulas, K. Vemmos, D. Vassilopoulos and M. Spengos, “Hyperventilation-Enhanced Chorea as a Transient Ischaemic Phenomenon in a Patient with Moyamoya Disease,” European Neurology, Vol. 51, No. 3, 2004, pp. 172-175. doi:10.1159/000077665

[14]   M. Tsuchiyama, K. Kawabata, O. Uyama, H. Tachibana and H. Sugita, “Hemichorea induced by Cerebrovascular Disease,” Nippon Iji Shinpo, 3534, 1992, pp. 43-45.

[15]   S. Unno, M. Iijima, M. Osawa, S. Uchiyama and M. Iwata, “A Case of Chorea Gravidarum with Moyamoya Disease,” Rinsho Shinkeigaku, Vol. 40, No. 4, 2000, pp. 378-382.

[16]   W. Zheng, M. Wanibuchi, T. Onda, H. Liu, I. Koyanagi, K. Fujimori and K. Houkin, “A Case of Moyamoya Disease Presenting with Chorea,” Child’s Nervous System, Vol. 22, No. 3, 2006, pp. 274-278. doi:10.1007/s00381-004-1104-2

 
 
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