A Single Case Report of Moyamoya Disease Presenting in a Psychiatric Setting

Schwarz, Lauren; Thurstin, Adrian H.; Levine, Lindsay A

doi:10.1080/09084280903519831

Cited by 8 publications

(5 citation statements)

References 14 publications

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“…Neuropsychological assessment of that patient revealed deficits in problem solving and inhibition, consistent with frontal lobe dysfunction. 17 A similar presentation in our patient points out dysfunction in a similar area of the brain system.…”

Section: Discussionsupporting

confidence: 81%

“…16 A case report published in 2010 describing a 25-year-old female with a history of MMD and depressive disorder also supports a connection between the two diseases. 17 In this report, magnetic resonance imaging revealed abnormal appearance in the anterior cerebral circulation with extensive periventricular collateral vessel involvement. Neuropsychological assessment of that patient revealed deficits in problem solving and inhibition, consistent with frontal lobe dysfunction.…”

Section: Discussionmentioning

confidence: 54%

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A 30-Year-Old Female with Moyamoya Disease and Associated Depression

Mughal¹,

Nissirios²,

Puri³

2014

Psychiatric Annals

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 54%

A 30-Year-Old Female with Moyamoya Disease and Associated Depression

Mughal¹,

Nissirios²,

Puri³

2014

Psychiatric Annals

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“…11,17,23 Patients with MMD are known to exhibit impairments in some cognitive functions, especially executive functions. 13,16,19,29,30,34 For example, Karzmark et al assessed executive function in 30 patients with MMD by examining the total number of correct responses on the Delis-Kaplan Executive Functioning System Design Fluency Test, Letter and Category Fluency Tests, and part B of the Trail Making Test and found that some of these patients had impaired executive functioning. 19 Notably, executive function is an umbrella term for cognitive processes, including inhibition, working memory, reasoning, task flexibility, problem solving, and planning and execution.…”

mentioning

confidence: 99%

Different aspects of dysexecutive syndrome in patients with moyamoya disease and its clinical subtypes

Fang

Hua

Zhang

et al. 2016

JNS

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obJective Dysexecutive syndrome is common in patients with moyamoya disease (MMD), a chronic cerebrovascular disease that is characterized by stenosis of the bilateral internal carotid arteries and progressive collateral revascularization, and MMD can be classified as ischemic or hemorrhagic according to the disease presentation and history. In this study, the authors aimed to determine which aspects of executive function are impaired in patients with MMD, in addition to the specific dysexecutive functions present among its clinical subtypes and the mechanisms underlying dysexecutive function in these patients. [SART]) to 49 patients with MMD and 47 IQ-, age-, education-, and social status-matched healthy controls. The dysexecutive questionnaire (DEX) was also used to assess participants' subjective feelings about their executive function. A total of 39 of the patients were evaluated by CT perfusion (CTP) before the assessments were performed, and the correlations among the performances of the patients on the above tests with the parameters of cerebral blood volume, cerebral blood flow (CBF), mean transit time (MTT), and time-to-peak (TTP) in the frontal lobes of these patients were also analyzed. results Many aspects of executive function in the patients with MMD were significantly poorer than those in the healthy controls, and the patients performed particularly poorer on the VF test, HSCT, N-back test, and SART. The patients with hemorrhagic MMD exhibited worse executive inhibition, executive processing, and semantic inhibition compared with those with ischemic MMD, but the latter group presented a worse working memory and poorer sustained attention. There were no significant differences in the DEX scores between the patients with MMD and healthy controls. The other findings were as follows: CBF was significantly positively correlated with the number correct on part B of the HSCT (r = 0.481, p = 0.01) and accuracy on the 0-back task of the N-back (r = 0.346, p = 0.031); MTT was significantly positively correlated with accuracy on the 2-back task of the N-back (r = 0.349, p = 0.034) and factor 5 of the DEX (r = 0.359, p = 0.032); and TTP was significantly positively correlated with the number correct on part B of the HSCT (r = 0.402, p = 0.034) and the 1-back reaction time of the N-back (r = 0.356, p = 0.026). coNclusioNs The patients with MMD exhibited impairments in semantic inhibition, executive processing, working memory, and sustained attention, but they were not aware of these deficits. Moreover, differences in dysexecutive function existed between the different subtypes of MMD. Hypoperfusion of the frontal lobe may be related to working memory and semantic inhibition impairments in patients with MMD.

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“…On rare occasions, individuals can develop memory disturbance, irritability, or agitation, which can be misdiagnosed as a solo psychiatric disorder such as schizophrenia [9]. Schwartz et al reported a patient with MMD who presented with mood disorder due to impaired anterior cerebral circulation [10]. Kim et al also found that recurrent intracranial hemorrhages were a consequence for patients with MMD [11].…”

Section: Discussionmentioning

confidence: 99%

Depression and Catatonia: A Case of Neuropsychiatric Complications of Moyamoya Disease

Lai

Patel

Dandurand

et al. 2018

Cureus

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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.

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A Single Case Report of Moyamoya Disease Presenting in a Psychiatric Setting

Cited by 8 publications

References 14 publications

A 30-Year-Old Female with Moyamoya Disease and Associated Depression

A 30-Year-Old Female with Moyamoya Disease and Associated Depression

Different aspects of dysexecutive syndrome in patients with moyamoya disease and its clinical subtypes

Depression and Catatonia: A Case of Neuropsychiatric Complications of Moyamoya Disease

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