Occult moyamoya disease causing fulminant infarction after septorhinoplasty
Gabriel Djedovica✉, Ralph Verstappena, Johannes Matiaseka, Timm Oliver Engelhardtb, Gerhard Pierera, Ulrich Michael Riegerc
- aDepartment of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University , Anichstr. 35, 6020 Innsbruck, Austria
- bHandsurgery, Plastic and Aesthetic Surgery, Munich University Hospital, Ludwig-Maximilians-Universität , Marchioninistrasse 15, 81377 München, Germany
- cDepartment of Plastic and Aesthetic, Reconstructive and Hand Surgery, St. Markus Hospital, Johann Wolfgang von Goethe University , Germany
- ✉Corresponding author
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Abstract
Moyamoya disease is an extremely rare cerebrovascular condition that predisposes affected patients to stroke in association with progressive stenosis of the intracranial internal carotid arteries and their proximal branches. To our knowledge, this is the first report of a lethal complication due to moyamoya disease after septorhinoplasty. A 25-year-old female Caucasian patient presented to our outpatient clinic with impaired nasal breathing for septorhinoplasty. Regrettably the patient died 6 days postoperatively due to progressive infarct series affecting all major cerebral vessels. Despite a thorough knowledge of possible local complications after septorhinoplasty, it is of utmost importance to consider rare general complications like moyamoya disease. Although cerebral infarctions are very rare in young people, it is crucial to identify and correctly interpret underlying typical symptoms.
TL;DRA 25-year-old female Caucasian patient presented to the outpatient clinic with impaired nasal breathing for septorhinoplasty and died 6 days postoperatively due to progressive infarct series affecting all major cerebral vessels. (Semantic Scholar)