MULTIPLE CEREBRAL ARTERIAL OCCLUSIONS IN A YOUNG PATIENT WITH SJOGRENS-SYNDROME - CASE-REPORT

WE DESCRIBE A case of a young patient with multiple occlusions of majo r cerebral arteries and Sjogren's syndrome. This 17-year-old female pa tient experienced repeated transient ischemic attacks of right hemipar esis, speech disturbance, and unconsciousness. Angiography revealed pr ogressive occlusion of the bilateral carotid and vertebral arteries. E xaminations, including a serological test, a rose bengal test, Ga scin tigraphy, and a biopsy of the parotid gland, indicated Sjogren's syndr ome. The patient was successfully managed with bypass surgery. Patient s with Sjogren's syndrome may experience progressive occlusion of the major cerebral arteries resembling that of moyamoya disease.