Diabetes Mellitus and the Moyamoya Syndrome

Letters4 September 2012Diabetes Mellitus and the Moyamoya SyndromeRegina S. Bower, MD, Grant W. Mallory, MD, Macaulay Nwojo, BS, Fredric B. Meyer, MD, and Yogish C. Kudva, MDRegina S. Bower, MDFrom Mayo Clinic, Rochester, MN 55902., Grant W. Mallory, MDFrom Mayo Clinic, Rochester, MN 55902., Macaulay Nwojo, BSFrom Mayo Clinic, Rochester, MN 55902., Fredric B. Meyer, MDFrom Mayo Clinic, Rochester, MN 55902., and Yogish C. Kudva, MDFrom Mayo Clinic, Rochester, MN 55902.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-5-201209040-00019 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The Moyamoya syndrome is a rare disease that primarily affects children but can also be found in adults. It involves progressive stenosis of the arteries in the anterior circulation of the brain that can lead to transient ischemic attacks and hemorrhagic stroke (1), with symptoms of headache, confusion, dizziness, ataxia, seizure, and cognitive and personality changes (2). Because these symptoms also occur in patients with type 1 diabetes mellitus (3), patients with both diseases might receive that diagnosis instead of the less common diagnosis of Moyamoya syndrome, which could delay recognition and treatment.Objective: To measure the clinical characteristics ...References1. Suzuki J, Kodama N. Moyamoya disease—a review. Stroke. 1983;14:104-9. [PMID: 6823678] CrossrefMedlineGoogle Scholar2. Scott RM, Smith ER. Moyamoya disease and moyamoya syndrome. N Engl J Med. 2009;360:1226-37. [PMID: 19297575] CrossrefMedlineGoogle Scholar3. Haller MJ, Atkinson MA, Schatz D. Type 1 diabetes mellitus: etiology, presentation, and management. Pediatr Clin North Am. 2005;52:1553-78. [PMID: 16301083] CrossrefMedlineGoogle Scholar4. National Diabetes Information Clearinghouse. National Diabetes Statistics, 2011. NIH Publication no. 11-3892. Accessed at http://diabetes.niddk.nih.gov/dm/pubs/statistics/index.aspx on 9 April 2012. Google Scholar Author, Article, and Disclosure InformationAffiliations: From Mayo Clinic, Rochester, MN 55902.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAssociation of HLA-DQA2 and HLA-B With Moyamoya Disease in the Chinese Han PopulationMoyamoya syndrome causing stroke in young women with type 1 diabetesSurgical Outcomes and Predictors of Stroke in a North American White and African American Moyamoya PopulationAblation of Rnf213 retards progression of diabetes in the Akita mouse 4 September 2012Volume 157, Issue 5Page: 387-388KeywordsHeadachesHemorrhagic strokeHyperthyroidismHypoglycemiaHypothyroidismRheumatoid arthritisSigns and symptomsStenosisTransient ischemic attacksType 1 diabetes ePublished: 4 September 2012 Issue Published: 4 September 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...