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Peek through the smoke: a report of moyamoya disease in a 32-year-old female patient presenting with ischaemic stroke
  1. Siddiq Omer1,
  2. Renata Zbyszynska2,
  3. Ramanathan Kirthivasan2
  1. 1 Care of the Elderly Medicine, Mid Essex Hospital Services NHS Trust, Chelmsford, UK
  2. 2 Mid Essex Hospital Services NHS Trust, Chelmsford, UK
  1. Correspondence to Dr Siddiq Omer, siddiqtheman{at}


Moyamoya disease is a vasculopathy causing chronic progressive stenosis and occlusion of the large arteries of the circle of Willis that could lead to brain ischaemia. The condition may also present with haemorrhagic strokes. This is a case report of moyamoya disease in a 32-year-old woman presenting with ischaemic stroke. The report describes her inpatient stay and investigations and findings.

The report reviews the main aspects of moyamoya disease definition, epidemiology, clinical features, diagnosis, classification and treatment. This case is interesting because her first presentation occurred after 3 months of her second delivery. Whether the different physiological stresses of pregnancy, child birth and puerperium have had some effect in accelerating the pathogenesis of her moyamoya disease remains unknown.1

  • moyamoya
  • neuroimaging
  • stroke

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  • Contributors SO has prepared the case summary, the literature review and wrote the manuscript. SO was the coordinator for the consultant inputs. RK has reviewed the case report manuscript and provided valuable input on diagnosis, follow-up and treatment. RZ reviewed the patient radiological images and prepared the most appropriate slides and reported them. She also provided valuable input in the diagnosis section of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.