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논문 기본 정보

자료유형
학술저널
저자정보
Ko Eunbuel (Department of Neurology College of Medicine The Catholic University of Korea) Hwang Il-Jung (Department of Neurology College of Medicine The Catholic University of Korea) Kim Jung-Woo (Department of Neurology College of Medicine The Catholic University of Korea) Lee Ju-Suck (Department of Neurology College of Medicine The Catholic University of Korea) Jung Dar-Eun (Department of Neurology College of Medicine The Catholic University of Korea) Yoo Sang-Won (Department of Neurology College of Medicine The Catholic University of Korea)
저널정보
대한신경집중치료학회 Journal of Neurocritical Care Journal of Neurocritical Care Vol.16 No.1
발행연도
2023.6
수록면
39 - 42 (4page)
DOI
10.18700/jnc.230018

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Background: Neurofibromatosis type 1 (NF1) is a genetic disorder with diverse phenotypic manifestations. Cerebral vasculopathy is one of the multisystem involvements often overlooked unless symptomatic. Case Report: A 28-year-old male patient with prolonged NF1 complained of right-hand position-specific rhythmic tremor after surviving an ipsilateral cerebellar arteriovenous malformation (AVM) hemorrhagic transformation. Not only did he suffer rupture of the infratentorial vasculopathy but he also endured asymmetric supratentorial occlusive vessel changes in Moyamoya syndrome. Due to contralateral limb clumsiness, his right hemispheric vasculature was revascularized by encephaloduroarteriosynangiosis 13 years before the AVM rupture.Conclusion: This case report describes exceptional NF1 CNS involvement where the cerebral vasculature had concomitant Moyamoya syndrome and unilateral cerebellar AVM in a single patient. Cerebral vasculopathy should be surveyed and adequately addressed during the follow-up of chronic NF1, as it can cause irreversible sequelae or can be life-threatening.

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