Protein S Deficiency and an Adult Case with Moyamoya Syndrome that Presented with Primary Intraventricular Haemorrhage      
Yazarlar (4)
Prof. Dr. Betül ÇEVİK Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Berat Acu
Eskişehir Osmangazi Üniversitesi, Türkiye
Prof. Dr. Dürdane AKSOY Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Semiha Gülsüm Kurt
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Makale Türü Açık Erişim Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayınlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı Balkan Medical Journal
Dergi ISSN 2146-3123 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 06-2014
Cilt No 31
Sayı 2
Sayfalar 180 / 183
DOI Numarası 10.5152/balkanmedj.2014.13028
Özet
Background: Moyamoya syndrome associated with protein S de- ficiency is rarely encountered and is usually reported in paediatric cases with cerebral ischaemia. Case Report: A 32-year-old woman had symptoms of sudden-onset severe headache, projectile vomiting, impaired consciousness, and slight neck stiffness. The computed tomography scan of her brain showed primary intraventricular haemorrhage, and the subsequent four vessel cerebral angiographies revealed stage 3 to 4 Moyamoya disease according to Suzuki and Takaku s angiographic classifica- tion. The coagulation profile showed the presence of protein S de- ficiency. The patient was treated with external ventricular drainage and conservative management until blood clot resolution. The patient was discharged with normal neurological examination findings after her initial impaired consciousness and orientation defect gradually recovered. Conclusion: This case report would alert physicians to the possible coexistence of Moyamoya syndrome and protein S deficiency, even in adult cases presenting with primary intraventricular haemorrhage.
Anahtar Kelimeler
Intraventricular haemorrhage | Moyamoya syndrome | protein S deficiency