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

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

Judith T Romano, Jack E Riggs, John B Bodensteiner and Ludwig Gutmann
Archives of neurology (Chicago), Vol.46(6), pp.607-608
06/01/1989
DOI: 10.1001/archneur.1989.00520420025018
PMID: 2730372

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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

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