RT Journal Article SR Electronic 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 FD BMJ Publishing Group Ltd SP bcr-2017-221685 DO 10.1136/bcr-2017-221685 VO 2018 A1 Omer, Siddiq A1 Zbyszynska, Renata A1 Kirthivasan, Ramanathan YR 2018 UL http://casereports.bmj.com/content/2018/bcr-2017-221685.abstract AB 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