Open AccessA 10 Years Old Child Presented with Hemiparesis and Moyamoya Disease – A Case Report
Author(s) -
Nikita H. Seth,
Ashish W. Bele,
Nivedita Chandrapal Singh,
Moh'd Irshad Qureshi,
Chaitanya A. Kulkarni
Publication year - 2021
Publication title -
journal of pharmaceutical research international
Language(s) - English
Resource type - Journals
ISSN - 2456-9119
DOI - 10.9734/jpri/2021/v33i45a32761
Subject(s) - moyamoya disease , medicine , hemiparesis , etiology , cerebral angiography , angiography , circle of willis , disease , pediatrics , magnetic resonance angiography , intervention (counseling) , radiology , surgery , magnetic resonance imaging , psychiatry
In Moyamoya disease there is long standing, continuous developing occlusion of the arteries of Circle of Willis which leads to development of typical collateral vessels seen on cerebral angiogram. Moyamoya Disease was diagnosed on performing the MR Angiography. Child with Moyamoya disease presents with recurrent episodes of sudden hemiplegia that might occur at alternative sides. The disease is progressive and dynamic in children. Acute management of this disease is symptomatic. MR Angiography clinches the diagnosis and neurosurgical intervention with physiotherapy which may be required as a part of definitive management. Objectives: Our case brings forth the significance of considering Moyamoya Disease to be classic etiology for acute ischemic strokes in children.
Case Report: We report a rare case of 10 year old female child who was admitted at our medical center for the complaints of transient ischemic attack & left side hemiparesis with left facial palsy. In respect to our case, surgical intervention was not considered due to having satisfactory response on the commencing medical management.
Conclusion: Our case brings forth the importance of considering MMD to be classic etiology for acute ischemic strokes in children .MMD is main diagnosis when we evaluate the children with cerebrovascular events. To asses this non operative MR angiography is investigation of choice. For favourable outcome in children with Moyamoya disease the key is early diagnosis and management.