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Neurology 2003;60:137-139
© 2003 American Academy of Neurology
Brief Communications

Hyperventilation-induced limb shaking TIA in Moyamoya disease

H.Y. Kim, MD, C.S. Chung, MD PhD, J. Lee, MD, D.H. Han, MD and K.H. Lee, MD PhD

From the Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Address correspondence and reprint requests to Dr. K.H. Lee, Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 ILwon-dong Kangnam-ku Seoul, 135-710, Korea; e-mail: drdpl{at}freechal.com

The authors present a case of hyperventilation-induced left upper limb shaking from an underlying Moyamoya disease. Video EEG monitoring and SPECT study were performed. Leptomeningeal collateral circulation was investigated by conventional angiography and by SPECT study with acetazolamide. Limb shaking in Moyamoya disease may result from a transient hypoperfusion of the contralateral frontoparietal cortex rather than basal ganglia.




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