Focal Cerebral Arteriopathy: The Face With Many Names

Tolani, Alisha; Yeom, Kristen W.; Elbers, Jorina

doi:10.1016/j.pediatrneurol.2015.05.008

Cited by 14 publications

(8 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a case series of 10 patients with unilateral focal cerebral arteriopathy involving the carotid terminus, there were 5 different diagnoses, 3 different approaches to treatment, and 6 patients had a change in diagnosis on follow-up. 11 In a prospective study of 355 children with arterial ischemic stroke, 14% of patients with arteriopathy were unable to be categorized into specific diagnostic categories. In that study, follow-up imaging improved the sensitivity of diagnosing an arteriopathy to 94%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Moyamoya Disease in Children: Results From the International Pediatric Stroke Study

et al. 2017

Self Cite

View full text Add to dashboard Cite

This study aimed to describe children with moyamoya disease from an international multicenter stroke database, and explore risk factors for stroke recurrence. We reviewed data of children >28-days old with moyamoya disease enrolled in the International Pediatric Stroke Study from January 2003 to March 2013. A total of 174 children from 32 sites and 14 countries had moyamoya disease; median age 7.4 years, 49% male. Of these, 90% presented with ischemic stroke, 7.5% with transient ischemic attack, and 2.5% with hemorrhagic stroke. One-third of patients had moyamoya syndrome. Stroke recurrence was 20% over median follow-up of 13 months; 9% had multiple recurrences. Children treated with surgical revascularization were less likely to have stroke recurrence ( P = .046). Moyamoya disease accounted for 8% of arterial strokes in this international pediatric stroke registry. One-third of pediatric patients with moyamoya disease have an underlying syndromic condition. Surgical revascularization is effective at reducing the incidence of stroke recurrence.

show abstract

Section: Discussionmentioning

confidence: 99%

“…10 Other causes of arteriopathy that may be confused with moyamoya disease include transient cerebral arteriopathy, vasculitis, and arterial dissection. 11…”

mentioning

confidence: 99%

Moyamoya Disease in Children: Results From the International Pediatric Stroke Study

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…19 Hence, we implemented an updated definition of FCA: unifocal and unilateral stenosis/irregularity of the large intracranial arteries of the anterior circulation (distal internal carotid artery [ICA] and/or its proximal branches). FCA-dissection type (FCA-d) referred to intracranial arterial dissection of the anterior circulation, typically in the setting of trauma.…”

Section: Methodsmentioning

confidence: 99%

Clinical and Imaging Characteristics of Arteriopathy Subtypes in Children with Arterial Ischemic Stroke: Results of the VIPS Study

Wintermark

Hills²,

deVeber

et al. 2017

AJNR Am J Neuroradiol

131

View full text Add to dashboard Cite

Introduction We quantified clinical and imaging characteristics associated with childhood arteriopathy subtypes to facilitate their diagnosis and classification in research and clinical settings. Methods The “Vascular effects of Infection in Pediatric Stroke” (VIPS) study prospectively enrolled 355 children with arterial ischemic stroke (AIS) (2010–2014). A central team of experts reviewed all data to diagnose childhood arteriopathy and classify subtypes, including arterial dissection, focal cerebral arteriopathy-inflammatory type (FCA-i, which includes transient cerebral arteriopathy, TCA), moyamoya, and diffuse/multifocal vasculitis. Only children whose stroke etiology could be conclusively diagnosed were included in these analyses. We constructed logistic regression models to identify characteristics associated with each arteriopathy subtype. Results Among 127 children with definite arteriopathy, the arteriopathy subtype could not be classified in 18 (14%). Moyamoya (n=34) occurred mostly in children <8 years old, FCA-i (n=25) in 8–15 year olds, and dissection (n=26) at all ages. Vertigo at stroke presentation was common in dissection. Dissection affected cervical arteries, while moyamoya involved supraclinoid internal carotid arteries. A banded appearance of the M1 segment of the middle cerebral artery was pathognomonic of FCA-i, but present in <25% of FCA-i cases; a small lenticulostriate distribution infarct was a more common predictor of FCA-i, present in 76%. It remained difficult to distinguish FCA-i from intracranial dissection of the anterior circulation (FCA-d). We observed only secondary forms of diffuse/multifocal vasculitis, mostly due to meningitis. Conclusions Childhood arteriopathy subtypes have some typical features that aid diagnosis. Better imaging methods, including vessel wall imaging, are needed for improved classification of FCA.

show abstract

“…В отдельных случаях более точный анализ данных МРТ высокого разрешения позволяет дифференцировать болезнь и синдром мойамойа [43]. Необходимость выработки единых диагностических и лечебных рекомендаций требует проведения дальнейших исследований для выявления биомаркеров заболевания и предикторов прогрессирующих артериопатий у детей [44].…”

Section: оригинальная работаunclassified

Differentiated method in surgical revascularization of the brain for the treatment of pediatric patients with moyamoya angiopathy

Овсянников

Дубовой

Рзаев

2021

Nejrohirurgiâ (Mosk.)

View full text Add to dashboard Cite

show abstract

Focal Cerebral Arteriopathy: The Face With Many Names

Cited by 14 publications

References 14 publications

Moyamoya Disease in Children: Results From the International Pediatric Stroke Study

Moyamoya Disease in Children: Results From the International Pediatric Stroke Study

Clinical and Imaging Characteristics of Arteriopathy Subtypes in Children with Arterial Ischemic Stroke: Results of the VIPS Study

Differentiated method in surgical revascularization of the brain for the treatment of pediatric patients with moyamoya angiopathy

Contact Info

Product

Resources

About