Moyamoya disease-the culprit in a young adult presenting with seizures: a case report

Authors

  • Aman Kumar Department of General Medicine, Government Medical College and Hospital, GMCH, Chandigarh, India GMCH Chandigarh, India
  • Daljinderjit Kaur Department of General Medicine, Government Medical College and Hospital, GMCH, Chandigarh, India GMCH Chandigarh, India
  • Ambadas Rathod Department of General Medicine, Government Medical College and Hospital, GMCH, Chandigarh, India GMCH Chandigarh, India
  • Tavishi Mehta Department of General Medicine, Government Medical College and Hospital, GMCH, Chandigarh, India GMCH Chandigarh, India
  • Irwinjit Kaur Department of Radiodiagnosis, Government Medical College and Hospital, GMCH, Chandigarh, India GMCH Chandigarh, India
  • Sanjeev Jindal Department of Radiodiagnosis, Government Medical College and Hospital, GMCH, Chandigarh, India GMCH Chandigarh, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20250381

Keywords:

Seizure, Moyamoya disease, Intra cranial hemorrhage

Abstract

Moyamoya disease (MMD) is a rare, progressive cerebrovascular disorder characterised by narrowing the internal carotid artery (ICA) branches and forming fragile, abnormal collateral vessels. Patients with this condition often present with symptoms of cerebral ischemia or haemorrhage, and the disease typically follows a progressive course. Moyamoya derives its roots from Japanese literature meaning cloud or haze.  Here we discuss a 23-year-old male who presented to the emergency with the chief complaint of a new-onset single episode of generalized tonic-clonic seizure. On further evaluation found to have MMD and cerebral revascularisation led to a favourable outcome.

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References

Almutairi OK, Abdulmoez YM. Case report: Moyamoya disease, the culprit in an adult female presenting with left sided numbness. Medicine (Baltimore). 2022;101(48):e32160. DOI: https://doi.org/10.1097/MD.0000000000032160

Khan NT, Islam S, Bari A. A case report of Moyamoya disease presenting as recurrent right-sided weakness. Cureus. 2023;15(5):e39209. DOI: https://doi.org/10.7759/cureus.39209

Gurung S, Gaire S, Bajracharya A, Paudel AK, Budhathoki P. Moyamoya disease in an adult female from Nepal: A case report. Ann Med Surg (Lond). 2021;66:102380. DOI: https://doi.org/10.1016/j.amsu.2021.102424

Uchiyama S, Yamazaki M, Ishikawa T, Yamaguchi K, Kawamata T. A case of Moyamoya disease in an adult female: a comparative perspective. Case Rep Neurol. 2020;12(1):137-42. DOI: https://doi.org/10.1159/000505967

Lee S, Rivkin MJ, Kirton A, deVeber G, Elbers J, International Pediatric Stroke Study. Moyamoya disease in children: Results from the International Pediatric Stroke Study. J Child Neurol. 2017;32(11):924-9. DOI: https://doi.org/10.1177/0883073817718730

Fang YC, Zhang Z, Wang J, Tu YK. Pathological circulating factors in Moyamoya disease. Int J Mol Sci. 2021;22(4):10496. DOI: https://doi.org/10.3390/ijms22041696

Su H, Yu J. Effect of Moyamoya disease on the basilar artery and adjacent arteries on CTA. eNeurological Sci. 2024;30:100501. DOI: https://doi.org/10.1016/j.ensci.2024.100501

Yamamoto S, Funaki T, Fujimura M, Takahashi JC, Uchino H, Houkin K, et al. Development of hemorrhage-prone anastomoses in asymptomatic Moyamoya disease: A comparative study with Japan Adult Moyamoya Trial. J Stroke Cerebrovasc Dis. 2019;28(11):104328. DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.104328

Goyal JP, Rao SS, Trivedi S. Moyamoya disease in a child: A case report. Case Rep Neurol Med. 2011;2011:1-2. DOI: https://doi.org/10.1155/2011/329738

Berry JA, Smith Z, Kainth D, Harneel S, Javed S. Moyamoya: An update and review. Cureus. 2020;12(10):e10994. DOI: https://doi.org/10.7759/cureus.10994

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Published

2025-02-21

How to Cite

Kumar, A., Kaur, D., Rathod, A., Mehta, T., Kaur, I., & Jindal, S. (2025). Moyamoya disease-the culprit in a young adult presenting with seizures: a case report. International Journal of Advances in Medicine, 12(2), 235–238. https://doi.org/10.18203/2349-3933.ijam20250381

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Section

Case Reports