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Rehabilitation Practice and Science

Translated Title

全身性紅斑狼瘡併發毛毛樣血管症候群之臨床表現及復健治療:病例報告

Abstract

Moyamoya disease is an uncommon clinical entity characterized by progressive narrowing and occlusion of the bilateral distal internal carotid arteries, as well as the proximal parts of their major branches, namely, the middle and anterior cerebral arteries. Concomitant development of prominent collateral vascularity in the basal regions of the brain results in the typical angiographic appearance of moyamoya, which literally means a wavering puff of smoke. Moyamoya syndrome refers to findings of moyamoya vasculopathy in the context of known systemic disease. We present a 26-year-old woman with systemic lupus erythematosus who had several episodes of ischemic stroke. Her cerebral angiograms revealed a typical moyamoya phenomenon. She was transferred to the rehabilitation ward because of weakness of her left limbs, left central facial palsy, pseudobulbar palsy, severe dysarthria and dysphagia. Her rehabilitation program included speech therapy, strengthening and oral motor exercises, as well as training in swallowing, balance, posture, ambulation, and activities of daily living. We describe the clinical features of systemic lupus erythematosus complicated with moyamoya syndrome and reviewarticle the literature.

Language

Traditional Chinese

First Page

241

Last Page

250

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