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Rheumatology Case Report: When Moyamoya Disease Mimicks Primary Central Nervous System Vasculitis

Joey Kim, MD, Megha Patel-Banker, MD, Matthew Abramson, MD, Mehwish Bilal, MD, Sanjay Godhwani, MD, Asha Patnaik, MD, Heidi Roppelt, MD, & Qingping Yao, MD  |  Issue: November 2015  |  November 16, 2015

Matthew Abramson, MD, is a second-year internal medicine resident at Stony Brook University Hospital and has a keen interest in rheumatology.

Mehwish Bilal, MD, is a practicing rheumatologist in St. Louis who completed her fellowship training at Stony Brook University Hospital.

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Sanjay Godhwani, MD, is a practicing rheumatologist in Long Island and completed his fellowship training at Stony Brook University Hospital.

Asha Patnaik, MD, is a board-certified rheumatologist currently practicing as an assistant professor at Stony Brook University Hospital, where she completed her fellowship training.

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Heidi Roppelt, MD, is a board-certified rheumatologist who completed her fellowship training at Stony Brook University Hospital. She is currently associate professor of medicine at Stony Brook University Medical Center and practices rheumatology at Southampton Hospital in Long Island.

Qingping Yao, MD, PhD, is a board-certified rheumatologist and professor of medicine, chief, Division of Rheumatology, Allergy & Immunology, Stony Brook University.

References

  1. Alba MA, Espígol-Frigolé G, Prieto-González S, et al. Central nervous system vasculitis: Still more questions than answers. Curr Neuropharmacol. 2011 Sep;9(3):437–448.
  2. Suzuki J, Takaku A. Cerebrovascular ‘moyamoya’ disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol. 1969 Mar;20(3):288–299.
  3. Smith ER, Scott RM. Moyamoya: Epidemiology, presentation, and diagnosis. Neurosurg Clin N Am. 2010 Jul;21(3):543–551.
  4. Calabrese LH, Duna GF, Lie JT. Vasculitis in the central nervous system. Arthritis Rheum. 1997 Jul;40(7):1189–1201.
  5. Janda PH, Bellew JG, Veerappan V. Moyamoya disease: Case report and literature review. J Am Osteopath Assoc. 2009 Oct;109(10):547–553.
  6. Research Committee on the Pathology and Treatment of Spontaneous Occlusion of the Circle of Willis, Health Labour Sciences Research Grant for Research on Measures for Infractable Diseases. Guidelines for diagnosis and treatment of moyamoya disease (spontaneous occlusion of the circle of Willis). Neurol Med Chir (Tokyo). 2012;52(5):245–266.
  7. Kraemer M, Berlit P. Primary central nervous system vasculitis and moyamoya disease: Similarities and differences. J Neurol. 2010 May;257(5):816–819.

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Filed under:ConditionsVasculitis Tagged with:case reportcentral nervous systemDiagnosismoyamoyapatient carerheumatologyTreatmentVasculitis

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