Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Wasp Sting-Associated Occlusion of the Supraclinoid Internal Carotid Artery: Implications Regarding the Pathogenesis of Moyamoya Syndrome

Wasp Sting-Associated Occlusion of the Supraclinoid Internal Carotid Artery: Implications... Abstract To the Editor. —The earliest pathologic changes in moyamoya syndrome are stenotic and/or occlusive changes in the terminal portion of the internal carotid artery.1 The cause of moyamoya syndrome, particularly the influence of congenital and/or acquired factors, remains undefined. Suzuki2 has been the chief proponent of a pathogenetic mechanism that involves the interaction of the autonomic nervous system (local factor) and the immune system (systemic factor). We report wasp sting-associated occlusion of the terminal internal carotid artery, and suggest that this may have similar implications regarding the pathogenesis of moyamoya syndrome. Report of a Case. —A previously healthy, developmentally normal 34-month-old white boy was stung repeatedly on the inner upper lip near the midline. The father removed a live yellow jacket from the child's mouth. There were no stings in the posterior aspect of References 1. Suzuki J, Takaku A. Cerebrovascular 'moyamoya' disease: disease showing abnormal netlike vessels in base of brain . Arch Neurol . 1969;20:288-299.Crossref 2. Suzuki J. Moyamoya Disease . New York, NY: Springer-Verlag NY Inc; 1983:131-143. 3. Sato S, Suzuki J. Anatomical mapping of the cerebral nervi vasorum in the human brain . J Neurosurg . 1975;43:559-568.Crossref 4. Lichtenstein LM, Golden DBK. Postscript to bee stings: delayed 'serum sickness.' Hosp Pract . 1983;18:36-46. 5. Ewan PW. Allergy to insect stings: a review . J R Soc Med . 1985;78:234-239. 6. Mejia G, Arbelaez M, Henao JE, Sus AA, Arango JL. Acute renal failure due to multiple stings by Africanized bees . Ann Intern Med . 1986;104:210-211.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Wasp Sting-Associated Occlusion of the Supraclinoid Internal Carotid Artery: Implications Regarding the Pathogenesis of Moyamoya Syndrome

Loading next page...
 
/lp/american-medical-association/wasp-sting-associated-occlusion-of-the-supraclinoid-internal-carotid-v57RcelHKO
Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520420025018
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —The earliest pathologic changes in moyamoya syndrome are stenotic and/or occlusive changes in the terminal portion of the internal carotid artery.1 The cause of moyamoya syndrome, particularly the influence of congenital and/or acquired factors, remains undefined. Suzuki2 has been the chief proponent of a pathogenetic mechanism that involves the interaction of the autonomic nervous system (local factor) and the immune system (systemic factor). We report wasp sting-associated occlusion of the terminal internal carotid artery, and suggest that this may have similar implications regarding the pathogenesis of moyamoya syndrome. Report of a Case. —A previously healthy, developmentally normal 34-month-old white boy was stung repeatedly on the inner upper lip near the midline. The father removed a live yellow jacket from the child's mouth. There were no stings in the posterior aspect of References 1. Suzuki J, Takaku A. Cerebrovascular 'moyamoya' disease: disease showing abnormal netlike vessels in base of brain . Arch Neurol . 1969;20:288-299.Crossref 2. Suzuki J. Moyamoya Disease . New York, NY: Springer-Verlag NY Inc; 1983:131-143. 3. Sato S, Suzuki J. Anatomical mapping of the cerebral nervi vasorum in the human brain . J Neurosurg . 1975;43:559-568.Crossref 4. Lichtenstein LM, Golden DBK. Postscript to bee stings: delayed 'serum sickness.' Hosp Pract . 1983;18:36-46. 5. Ewan PW. Allergy to insect stings: a review . J R Soc Med . 1985;78:234-239. 6. Mejia G, Arbelaez M, Henao JE, Sus AA, Arango JL. Acute renal failure due to multiple stings by Africanized bees . Ann Intern Med . 1986;104:210-211.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Jun 1, 1989

References