Moya Moya disease in a child
Samina Shamim1, Jay Kumar, Syed Waseem Jamalvi
1Department of Paediatrics, Jinnah Medical and Dental College, Karachi.
Insights
Moya Moya disease, a rare cerebrovascular condition, was diagnosed in a 5-year-old child presenting with seizures and neurological deficits. Cerebral angiography confirmed the primary vascular pathology.
Area of Science:
- Neurology
- Pediatrics
- Vascular Medicine
Background:
- Moya Moya disease is a progressive neurovascular condition characterized by stenosis of the terminal internal carotid arteries.
- It can lead to ischemic or hemorrhagic strokes, particularly in pediatric populations.
Observation:
- A 5-year-old child presented with new-onset seizures and clinical signs suggestive of bilateral upper motor neuron lesions.
- The patient's neurological presentation indicated a significant central nervous system insult.
Findings:
- Diagnostic investigations, including cerebral angiography, identified a primary cerebral vascular pathology consistent with Moya Moya disease.
- The findings highlight the importance of considering rare vascular diseases in pediatric neurological presentations.
Implications:
- Early diagnosis and intervention in Moya Moya disease are crucial for preventing severe neurological sequelae.
- This case underscores the need for comprehensive vascular imaging in children with unexplained neurological symptoms.
- Further research into the pathogenesis and optimal management strategies for pediatric Moya Moya disease is warranted.
Abstract:
The case report describes Moya Moya disease in a 5-year-old child who presented with seizures and signs of bilateral upper motor neuron lesion. Diagnostic workup revealed a primary cerebral vascular pathology, which was confirmed by cerebral angiography.
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