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Journal of the Korean Society of Pediatric Nephrology 2007;11(2): 294-298. doi: https://doi.org/10.3339/jkspn.2007.11.2.294
모야모야병과 동반된 신 동맥 협착에 따른 신성 고혈압을 보인 1례
김정아, 김승, 김효선, 신재일, 정일천, 김동석, 김명준, 이도연, 이재승
1연세대학교 의과대학 소아과학교실, 신장질환 연구소
2연세대학교 의과대학 소아과학교실, 신장질환 연구소
3연세대학교 의과대학 소아과학교실, 신장질환 연구소
4연세대학교 의과대학 소아과학교실, 신장질환 연구소
5연세대학교 의과대학 소아과학교실, 신장질환 연구소
6연세대학교 의과대학 신경외과학교실
7연세대학교 의과대학 진단방사선과학교실
8연세대학교 의과대학 진단방사선과학교실
9연세대학교 의과대학 소아과학교실, 신장질환 연구소
A Case of Renovascular Hypertension Due to Renal Artey Stenosis Related to Moyamoya Disease
Joung-A Kim, Seung Kim, Hyo-Sun Kim, Jae-Il Shin, Il-Cheon Jeong, Dong-Seok Kim, Myung-Joon Kim, Do-Yun Lee, Jae-Seung Lee
1Department of Pediatrics, The Institute of Kidney Disease Yonei University College of Medicine
2Department of Pediatrics, The Institute of Kidney Disease Yonei University College of Medicine
3Department of Pediatrics, The Institute of Kidney Disease Yonei University College of Medicine
4Department of Pediatrics, The Institute of Kidney Disease Yonei University College of Medicine
5Department of Pediatrics, The Institute of Kidney Disease Yonei University College of Medicine
6Department of Neurosurgery, Yonsei University College of Medicine
7Department of Radiology, Yonsei University College of Medicine
8Department of Radiology, Yonsei University College of Medicine
9Department of Pediatrics, The Institute of Kidney Disease Yonei University College of Medicine
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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 hyper tension, 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, bat-loon 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.
Key words: Moyamoya disease | Renovascular hypertension | Renal angiogram
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