Moyamoya disease presenting with paroxysmal exercise-induced dyskinesia

Chulhyoung Lyoo, Dong Joon Kim, Hyuk Chang, Myung Sik Lee

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

We report a patient with moyamoya disease presenting with paroxysmal exercise-induced dyskinesia (PED). A 31-year-old lathe man developed recurrent attacks of paroxysmal hemichorea. The attacks always affected his left limbs and occurred either after several hours of working or while playing football. The duration of attacks ranged from 30 min to 4 h. Attacks were not provoked by sudden movements, consumption of coffee or alcohol, hyperventilation, emotional stress, exposure to cold or passive movement. An MRI of the brain showed no parenchymal lesions. However, 99mTc-ethylcysteine dimer SPECT study showed hypoperfusion in the right striatum. Digital subtraction angiography showed stenosis of the right internal carotid and middle cerebral artery with prominent basal collaterals, which was compatible with moyamoya disease. Imaging studies of the cerebral arteries should be done in patients with clinical features of PED in order to detect possible cases of moyamoya disease.

Original languageEnglish
Pages (from-to)446-448
Number of pages3
JournalParkinsonism and Related Disorders
Volume13
Issue number7
DOIs
Publication statusPublished - 2007 Oct 1

Fingerprint

Moyamoya Disease
Dyskinesias
Exercise
Digital Subtraction Angiography
Cerebral Arteries
Hyperventilation
Football
Coffee
Middle Cerebral Artery
Single-Photon Emission-Computed Tomography
Psychological Stress
Pathologic Constriction
Extremities
Alcohols
Brain

All Science Journal Classification (ASJC) codes

  • Neurology
  • Geriatrics and Gerontology
  • Clinical Neurology

Cite this

Lyoo, Chulhyoung ; Kim, Dong Joon ; Chang, Hyuk ; Lee, Myung Sik. / Moyamoya disease presenting with paroxysmal exercise-induced dyskinesia. In: Parkinsonism and Related Disorders. 2007 ; Vol. 13, No. 7. pp. 446-448.
@article{be16894e3ed044838cd06eb55cbc91dd,
title = "Moyamoya disease presenting with paroxysmal exercise-induced dyskinesia",
abstract = "We report a patient with moyamoya disease presenting with paroxysmal exercise-induced dyskinesia (PED). A 31-year-old lathe man developed recurrent attacks of paroxysmal hemichorea. The attacks always affected his left limbs and occurred either after several hours of working or while playing football. The duration of attacks ranged from 30 min to 4 h. Attacks were not provoked by sudden movements, consumption of coffee or alcohol, hyperventilation, emotional stress, exposure to cold or passive movement. An MRI of the brain showed no parenchymal lesions. However, 99mTc-ethylcysteine dimer SPECT study showed hypoperfusion in the right striatum. Digital subtraction angiography showed stenosis of the right internal carotid and middle cerebral artery with prominent basal collaterals, which was compatible with moyamoya disease. Imaging studies of the cerebral arteries should be done in patients with clinical features of PED in order to detect possible cases of moyamoya disease.",
author = "Chulhyoung Lyoo and Kim, {Dong Joon} and Hyuk Chang and Lee, {Myung Sik}",
year = "2007",
month = "10",
day = "1",
doi = "10.1016/j.parkreldis.2006.07.014",
language = "English",
volume = "13",
pages = "446--448",
journal = "Parkinsonism and Related Disorders",
issn = "1353-8020",
publisher = "Elsevier BV",
number = "7",

}

Moyamoya disease presenting with paroxysmal exercise-induced dyskinesia. / Lyoo, Chulhyoung; Kim, Dong Joon; Chang, Hyuk; Lee, Myung Sik.

In: Parkinsonism and Related Disorders, Vol. 13, No. 7, 01.10.2007, p. 446-448.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Moyamoya disease presenting with paroxysmal exercise-induced dyskinesia

AU - Lyoo, Chulhyoung

AU - Kim, Dong Joon

AU - Chang, Hyuk

AU - Lee, Myung Sik

PY - 2007/10/1

Y1 - 2007/10/1

N2 - We report a patient with moyamoya disease presenting with paroxysmal exercise-induced dyskinesia (PED). A 31-year-old lathe man developed recurrent attacks of paroxysmal hemichorea. The attacks always affected his left limbs and occurred either after several hours of working or while playing football. The duration of attacks ranged from 30 min to 4 h. Attacks were not provoked by sudden movements, consumption of coffee or alcohol, hyperventilation, emotional stress, exposure to cold or passive movement. An MRI of the brain showed no parenchymal lesions. However, 99mTc-ethylcysteine dimer SPECT study showed hypoperfusion in the right striatum. Digital subtraction angiography showed stenosis of the right internal carotid and middle cerebral artery with prominent basal collaterals, which was compatible with moyamoya disease. Imaging studies of the cerebral arteries should be done in patients with clinical features of PED in order to detect possible cases of moyamoya disease.

AB - We report a patient with moyamoya disease presenting with paroxysmal exercise-induced dyskinesia (PED). A 31-year-old lathe man developed recurrent attacks of paroxysmal hemichorea. The attacks always affected his left limbs and occurred either after several hours of working or while playing football. The duration of attacks ranged from 30 min to 4 h. Attacks were not provoked by sudden movements, consumption of coffee or alcohol, hyperventilation, emotional stress, exposure to cold or passive movement. An MRI of the brain showed no parenchymal lesions. However, 99mTc-ethylcysteine dimer SPECT study showed hypoperfusion in the right striatum. Digital subtraction angiography showed stenosis of the right internal carotid and middle cerebral artery with prominent basal collaterals, which was compatible with moyamoya disease. Imaging studies of the cerebral arteries should be done in patients with clinical features of PED in order to detect possible cases of moyamoya disease.

UR - http://www.scopus.com/inward/record.url?scp=34548857075&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34548857075&partnerID=8YFLogxK

U2 - 10.1016/j.parkreldis.2006.07.014

DO - 10.1016/j.parkreldis.2006.07.014

M3 - Article

VL - 13

SP - 446

EP - 448

JO - Parkinsonism and Related Disorders

JF - Parkinsonism and Related Disorders

SN - 1353-8020

IS - 7

ER -