Concepts in Neurology and Research
[ ISSN : 2833-3667 ]
“Moyamoya Disease”–Puff of Smoke in Brain-Presenting as Stroke in Young”
Abstract
Moyamoya disease is a rare, idiopathic, progressive occlusive condition involving cerebral vessels which includes mainly, stenosis of distal internal carotid arteries on both sides and anterior and middle cerebral arteries thereby leading to development of collateral vessels to compensate for the occlusion. The disease may develop in children and adults, but the clinical features differ. Moyamoya disease occurs predominantly in Japanese individuals but has been found in all races with varying age distributions and clinical manifestations. As a result, moyamoya disease has been under-recognized as a cause of ischemic and hemorrhagic strokes in the Indian subcontinent. At this time, there is no known cure, and existing treatment options are controversial. We here describe the case of a 42-year-old male presenting as recurrent left sided hemiparesis.