A Case of Renovascular Hypertension Due to Renal Artey Stenosis Related to Moyamoya Disease.
- Author:
Joung A KIM
1
;
Seung KIM
;
Hyo Sun KIM
;
Jae Il SHIN
;
Il Cheon JEONG
;
Jae Seung LEE
;
Dong Seok KIM
;
Myung Joon KIM
;
Do Yun LEE
Author Information
1. Department of Pediatrics, The Institute of Kidney Disease Yonsei University College of Medicine, Seoul, Korea. jsyonse@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Moyamoya disease;
Renovascular hypertension;
Renal angiogram
- MeSH:
Angiography;
Angioplasty, Balloon;
Blood Pressure;
Brain;
Carotid Artery, Internal;
Cerebrovascular Disorders;
Child;
Constriction, Pathologic*;
Follow-Up Studies;
Humans;
Hypertension, Renovascular*;
Moyamoya Disease*;
Paresis;
Renal Artery;
Renal Artery Obstruction;
Seizures;
Stents
- From:Journal of the Korean Society of Pediatric Nephrology
2007;11(2):294-298
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Moyamoya disease is a progressive cerebrovascular disorder with stenosis or occlusion of the bilateral internal carotid arteries with abnormal vascular networks at the base of the brain. Previous reports have shown that there are extracranial vascular involvements in Moyamoya disease, especially in the renal artery. We report a 7-year-old patient with Moyamoya disease associated with renovascular hypertension, who presented in infancy with seizures and hemiparesis. Renal angiography showed multiple stenoses of the right renal artery. Although renal artery stenosis in Moyamoya disease has been effectively treated with balloon angioplasty, stent implantation, or surgery, balloon angioplasty could not be done in this patient due to multiple stenoses. His blood pressure was successfully controlled with medical treatment, and remained normotensive during the follow up period of 6 months.
