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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 25 - 32 (8page)
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Concurrent involvement of bilateral renal and cerebral arteries, usually incurred as stenosis is rare in childhood-onset Takayasu arteritis (c-TA). We report the case of a 14-year-old girl, with c-TA, presenting with transient ischemic attack after endovascular revascularization for renal artery stenosis and cerebrovascular stroke after surgical revascularization for cerebral artery stenosis associated with childhood-onset moyamoya syndrome. We deem th decrease of blood pressure by endovascular revascularization and improvement of cerebral perfusion by surgical revascularization may have jeopardized the cerebral deep watershed zone to cerebral ischemia followed by cerebral hyperperfusion syndrome and caused transient ischemic attack and cerebrovascular stroke in our patient. Revascularization could be a double-edge sword for c-TA patients presenting with concomitant renal artery stenosis and cerebral artery stenosis, and should be performed with caution. Quantitative analysis of cerebral blood flow by brain magnetic resonance imaging and angiography should be performed within 48 hours after surgical revascularization in c-TA.
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참고문헌 (20)
참고문헌 신청
Tullus K / 2008 / Renovascular hypertension in children / Lancet 371(9622):1453~1463
Brunner J / 2010 / Takayasu arteritis in children and adolescents / Rheumatology (Oxford) 49(10):1806~1814
Fieldston E / 2003 / Hypertension and elevated ESR as diagnostic features of Takayasu arteritis in children / J Clin Rheumatol 9(3):156~163
Ozen S / 2010 / EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: final classification criteria / Ann Rheum Dis 69(5):798~806
Mathew AJ / 2016 / Childhood-onset Takayasu arteritis: an update / Int J Rheum Dis 19(2):116~126
Brunner J / 2010 / Takayasu arteritis in children and adolescents / Rheumatology (Oxford) 49(10):1806~1814
Fieldston E / 2003 / Hypertension and elevated ESR as diagnostic features of Takayasu arteritis in children / J Clin Rheumatol 9(3):156~163
Ozen S / 2010 / EULAR/PRINTO/PRES criteria for Henoch-Schonlein purpura, childhood polyarteritis nodosa, childhood Wegener granulomatosis and childhood Takayasu arteritis: Ankara 2008. Part II: final classification criteria / Ann Rheum Dis 69(5):798~806
Mathew AJ / 2016 / Childhood-onset Takayasu arteritis: an update / Int J Rheum Dis 19(2):116~126
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