Moyamoya disease in a 2-year-old patient from the middle east: a case report and literature review.
| Autor: | Habes HMN; Faculty of Medicine, Al-Quds University, Jerusalem., Alshareef RB; Faculty of Medicine, Al-Quds University, Jerusalem., Amleh A; Faculty of Medicine, Al-Quds University, Jerusalem., Doudin AAA; Faculty of Medicine, Al-Quds University, Jerusalem., Habes YMN; Faculty of Medicine, Al-Quds University, Jerusalem., Abdulrazzak M; Faculty of Medicine, University of Aleppo, Aleppo, Syria., Basal SI; Department of Neurosurgery, Intervention Neuroradiology, Al-Ahli Hospital, Hebron, Palestine. |
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| Jazyk: | angličtina |
| Zdroj: | Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Mar 15; Vol. 86 (5), pp. 3066-3071. Date of Electronic Publication: 2024 Mar 15 (Print Publication: 2024). |
| DOI: | 10.1097/MS9.0000000000001934 |
| Abstrakt: | Introduction and Importance: Moyamoya disease (MMD) is a condition characterized by progressive narrowing of arteries in the brain and abnormal development of small collateral vessels. It is commonly found in East Asia but has never been reported in Palestine. Case Presentation: A 2-year-old female, part of a twin born to non-consanguineous parents, presented with recurring seizures and developmental regression. The physical examination revealed signs of hypotonia, reflex abnormalities, and bilateral Babinski signs. Comprehensive laboratory tests and imaging investigations confirmed the diagnosis of MMD, marking this patient as the reported case in Palestine. Clinical Discussion: The diagnostic criteria for this condition were revised in 2021 to focus on findings seen in angiography and magnetic resonance angiography (MRA) scans. MMD has not been curative so far, and the management is focused on preventing complications, sometimes with surgical revascularization, including its different approaches: direct, indirect, and a combination of both. Conclusion: This case highlights the importance of identifying MMD in regions where it is uncommon to be diagnosed. It emphasizes the need for diagnosis and appropriate intervention to reduce complications. Competing Interests: The authors declare that they have no competing interests.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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