Open AccessPeek through the smoke: a report of moyamoya disease in a 32-year-old female patient presenting with ischaemic stroke
Author(s) -
Siddiq Omer,
Renata Zbyszynska,
Ramanathan Kirthivasan
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2017-221685
Subject(s) - medicine , moyamoya disease , ischaemic stroke , ischaemic heart disease , stroke (engine) , peek , neurology , neurosurgery , pediatrics , surgery , atrial fibrillation , psychiatry , mechanical engineering , engineering , polymer , chemistry , organic chemistry
Moyamoya disease is a vasculopathy causing chronic progressive stenosis and occlusion of the large arteries of the circle of Willis that could lead to brain ischaemia. The condition may also present with haemorrhagic strokes. This is a case report of moyamoya disease in a 32-year-old woman presenting with ischaemic stroke. The report describes her inpatient stay and investigations and findings.The report reviews the main aspects of moyamoya disease definition, epidemiology, clinical features, diagnosis, classification and treatment. This case is interesting because her first presentation occurred after 3 months of her second delivery. Whether the different physiological stresses of pregnancy, child birth and puerperium have had some effect in accelerating the pathogenesis of her moyamoya disease remains unknown. 1 .