关键词: benzodiazepine catatonia depression icas internal carotid arteries mmd moyamoya disease rnf213 gene stroke

来  源:   DOI:10.7759/cureus.3460   PDF(Pubmed)

Abstract:
Moyamoya disease (MMD) is a rare idiopathic cerebrovascular disease most common among the Asian population. Studies have shown that patients with MMD are at increased risk for developing psychiatric complications. We present a patient with hemorrhagic MMD (RNF213 gene mutation) who developed depression and catatonia over time following MMD-related strokes. While no guidelines exist for the management of such an uncommon scenario, it at least requires an interdepartmental approach. Our report highlights the medical complications of untreated MMD and its neuropsychiatric association with depression and catatonia.
摘要:
烟雾病(MMD)是一种罕见的特发性脑血管病,在亚洲人群中最常见。研究表明,MMD患者发生精神并发症的风险增加。我们介绍了一名出血性MMD(RNF213基因突变)患者,该患者在与MMD相关的中风后随时间发展为抑郁症和紧张症。虽然没有针对这种罕见情况的管理的指导方针,这至少需要部门间的方法。我们的报告重点介绍了未经治疗的MMD的医疗并发症及其与抑郁症和紧张症的神经精神关联。
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