J Neurointensive Care.
2021 Oct;4(2):73-75. 10.32587/jnic.2021.00409.
Allergic Reaction Induced Brainstem Stroke in a Patient With Moyamoya Disease: A Case Report
- Affiliations
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- 1Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea
- KMID: 2555055
- DOI: http://doi.org/10.32587/jnic.2021.00409
Abstract
- A patient who ate peaches and developed urticaria complained of left sided weakness within minutes. Upon admission, the vital signs and breathing pattern became stable without evidence of anaphylaxis. After magnetic resonance imaging evaluation, the patient was diagnosed with acute ischemic stroke in the right pons, and cerebral angiography revealed moyamoya disease. Reports regarding an allergic reaction without anaphylaxis causing a stroke were extremely limited; however, no study has reported that allergy can cause a stroke in patients with moyamoya to date. Therefore, an ischemic stroke may occur in a patient with moyamoya only with an allergic reaction considered and reported as something that should be considered significant in the daily routine and medication for a patient with moyamoya.
