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An Unusual Presentation of Moyamoya Disease in a Pediatric Patient

Ola Shahrour1, Abdulqader Al Zubaidi2, Salwa Al Kaabi3

  • 1Department of Academic Affairs, Tawam Hospital, Al Ain, ARE.

Cureus
|July 8, 2024
PubMed

Insights

Moyamoya disease (MMD), a rare pediatric cerebrovascular condition, typically causes stroke. This case highlights unusual MMD symptoms like headache and double vision in a child, presenting a unique diagnostic challenge.

Area of Science:

  • Neurology
  • Pediatric Neurology
  • Vascular Neurology

Background:

  • Moyamoya disease (MMD) is a rare chronic cerebrovascular disease affecting children.
  • It involves progressive stenosis of the internal carotid artery and circle of Willis branches.
  • MMD commonly leads to ischemic stroke with symptoms like hemiparesis and aphasia.

Observation:

  • A six-year-old Emirati female presented with atypical MMD symptoms: headache, vomiting, and double vision.
  • These symptoms differed from the typical ischemic manifestations of MMD.
  • Diagnosis was confirmed via brain MRI with angiography.

Findings:

  • The patient was diagnosed with Moyamoya disease.
  • This case represents the first reported instance of MMD in the United Arab Emirates.
  • The presentation included unusual neurological symptoms in a pediatric patient.

Implications:

  • This case expands the understanding of MMD's clinical spectrum in children.
  • It emphasizes the importance of considering MMD in pediatric patients with unusual neurological presentations.
  • Early diagnosis and management are crucial for improving outcomes in pediatric MMD.
Keywords:
cerebral angiographycerebral ischemiamoyamoya diseasepediatric strokerevascularization surgery

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