2018
DOI: 10.7759/cureus.3460
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Depression and Catatonia: A Case of Neuropsychiatric Complications of Moyamoya Disease

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 med… Show more

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Cited by 4 publications
(2 citation statements)
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References 19 publications
(29 reference statements)
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“…The rates of hemorrhage reported in several large studies are presented in Table 4. In individual moyamoya patients, neurological symptoms secondary to moyamoya included laryngomalacia [118], hypotension encephalopathy [117], behavioral changes [119], oral and written language deficits [119,128], transient psychosis [121,129,173], hemiplegia [126,131], hearing loss [132], and cognitive difficulties [120]. Movement disorders as symptoms of moyamoya included chorea [122,123], dystonia [124,125], hemifacial spasms [130], and hemiballismus [127].…”
Section: Symptomatologymentioning
confidence: 99%
“…The rates of hemorrhage reported in several large studies are presented in Table 4. In individual moyamoya patients, neurological symptoms secondary to moyamoya included laryngomalacia [118], hypotension encephalopathy [117], behavioral changes [119], oral and written language deficits [119,128], transient psychosis [121,129,173], hemiplegia [126,131], hearing loss [132], and cognitive difficulties [120]. Movement disorders as symptoms of moyamoya included chorea [122,123], dystonia [124,125], hemifacial spasms [130], and hemiballismus [127].…”
Section: Symptomatologymentioning
confidence: 99%
“…4 Behere 5 reported the case of a 16-year-old boy who presented with similar mood symptoms such as pervasively irritable mood and increased psychomotor activity. Lai et al 6 reported the case of a 34-year-old Chinese female with depression and catatonic symptoms in association with moyamoya disease. Singh et al 7 reported the case of a 22-year-old female from Delhi, where a focus on the treatment of behavioral symptoms led to a delay in the diagnosis of moyamoya disease.…”
mentioning
confidence: 99%