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Paediatric Moyamoya disease: acute presentation with fever and confusion in an 8-year-old: a case report.
Karki, Deepika; Pant, Prashant; Paudel, Sandip; Kumar Sah, Sumit; Regmi, Samiksha; Bhandari, Sanjeev.
Afiliación
  • Karki D; Upendra Devkota Memorial National Institute of Neurological and Allied Sciences.
  • Pant P; Department of Internal Medicine, Star Hospital, Lalitpur.
  • Paudel S; College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu.
  • Kumar Sah S; College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu.
  • Regmi S; College of Medicine, Nepalese Army Institute of Health Sciences, Kathmandu.
  • Bhandari S; Department of Internal Medicine, Karnali Province Hospital, Birendranagar, Nepal.
Ann Med Surg (Lond) ; 86(3): 1748-1752, 2024 Mar.
Article en En | MEDLINE | ID: mdl-38463070
ABSTRACT
Introduction and importance Moyamoya is a chronic vaso-occlusive cerebrovascular disorder which involves internal carotid artery and its proximal branches, forming compensatory Moyamoya vessels. It may manifest with diverse symptoms, but early detection is crucial for a favourable prognosis. Case presentation The authors present a case of an 8-year-old child who presented to the emergency with acute onset fever and confusion in speech. Although the symptoms were vague, she was advised for a thorough investigation. MRI of the brain revealed an infarct on the brain that raised suspicion of a vaso-occlussive disorder. Subsequent magnetic resonance angiography and digital subtraction angiography revealed underlying Moyamoya disease. Clinical

discussion:

Although the initial diagnosis of Moyamoya disease can be challenging, prompt diagnosis and simple medical measures like single antiplatelet regimens are useful for secondary ischaemic prevention.

Conclusion:

This case highlights the essence of considering Moyamoya disease as one of the differentials while dealing with children presenting with subtle cerebrovascular symptoms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Med Surg (Lond) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Med Surg (Lond) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido