TY - JOUR T1 - Peek through the smoke: a report of moyamoya disease in a 32-year-old female patient presenting with ischaemic stroke JF - BMJ Case Reports DO - 10.1136/bcr-2017-221685 VL - 2018 SP - bcr-2017-221685 AU - Siddiq Omer AU - Renata Zbyszynska AU - Ramanathan Kirthivasan Y1 - 2018/08/09 UR - http://casereports.bmj.com/content/2018/bcr-2017-221685.abstract N2 - 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 ER -