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Updated: May 10, 2026

Transient Middle Cerebral Artery Occlusion Model of Neonatal Stroke in P10 Rats
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Pediatric Moyamoya disease.

Mohamed Nagiub1, Iqbal Allarakhia

  • 1Department of Pediatrics, St. John Providence Children's Hospital, Detroit, Michigan, U.S.A.

The American Journal of Case Reports
|July 5, 2013
PubMed
Summary

Moyamoya disease (MMD) is a rare cerebrovascular condition affecting children, particularly in East Asia. Early diagnosis through clinical evaluation and imaging, confirmed by conventional angiography, is crucial for effective management and surgical planning.

Keywords:
Moyamoya diseasealtered mental statusfamilial MMDsilent infarction

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Area of Science:

  • Neurology
  • Vascular Medicine
  • Pediatric Neurology

Background:

  • Moyamoya disease (MMD) is a progressive cerebrovascular occlusive disease affecting bilateral internal carotid arteries.
  • It causes a compensatory abnormal vascular network at the base of the brain.
  • MMD is the most common pediatric cerebrovascular disease in East Asia, with lower incidence in the USA.

Purpose of the Study:

  • To present a case of Moyamoya disease in a pediatric patient.
  • To highlight diagnostic considerations for MMD.

Main Methods:

  • Case report of a 7-year-old female presenting with transient altered mental status.
  • Diagnostic evaluation included history, physical examination, and brain imaging.
  • Conventional angiography was utilized for definitive diagnosis.

Main Results:

  • The patient was diagnosed with Moyamoya disease.
  • Conventional angiography confirmed the diagnosis and provided information for surgical planning.

Conclusions:

  • A high index of suspicion based on clinical presentation and imaging is key for diagnosing Moyamoya disease.
  • Conventional angiography is the gold standard for diagnosis and surgical planning in MMD patients.