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CASE REPORT
Year : 2020  |  Volume : 69  |  Issue : 3  |  Page : 182-184

Moyamoya disease in a 29-year-old female of Indian Origin


1 Department of Anatomy, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
2 Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Correspondence Address:
Dr. Shilpi Gupta Dixit
Department of Anatomy, All India Institute of Medical Sciences, Jodhpur - 342 005, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JASI.JASI_111_19

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The case presented here is a 29-year-old female patient with complaints of weakness over the left upper and lower limbs for 2 weeks. Digital subtraction angiography of the brain was suggestive of cerebral arteries, showing proliferation of cortical as well as collateral arteries arising from the internal carotid arteries (ICAs). Moyamoya is a progressive steno-occlusive disease at the terminal portions of the bilateral ICAs, with the development of “moyamoya vessels” giving a “Puff of Smoke” appearance on catheter angiography. Cerebral angiography is gold standard for diagnosis and helpful for detecting aneurysm and for surgical planning. There is no standardized surgical strategy for the treatment of this disease. Innumerable revascularization procedures have been employed with the aim of decelerating the progression of disease. Recognition of various symptoms of moyamoya would enable early diagnosis so that it could be treated surgically, as soon as possible, leading to a better neurological outcome.


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