Moyamoya Disease – A Case Review

Meaning: Moyamoya disease is a vasculo-occlusive disease in which collateral circulation develops and it appear as "puff of smoke".

Etiology: Inherited genetic abnormalities and vascular malformations are common causetive factors.

Clinical Manifestations: most of the signs and symptoms are like signs and symptoms of stroke and epilepsy.

Diagnostic tests: Moya Moya disease can be ruled out by CT, MRI, SPECT scan, MRA.

Management: medical management includes hydration, anti-platelet and antihypertensive treatment. Surgical management includes direct and indirect revascularization.

Prognosis: prognosis is excellent in patient with surgical management before developing disabling stroke. Without treatment, Moyamoya disease can be fatal as the result of intra-cerebral haemorrhage.