DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20220094

Moyamoya disease in a case of tuberculous meningoencephalitis

Rajaram M. Weling

Abstract


Moyamoya disease is an uncommon vascular disease, which causes obstruction and stenosis of arteries of the circle of Willis. This dis ease is seen across the world, but is more common in east Asia. It may cause hemorrhagic or ischemic stroke, or transient ischemic attack.  Fever, vomiting and convulsions, are usually suggestive of infective etiology involving brain and meninges. This case report is about a child with meningoencephalitis. Tuberculous meningoencephalitis is the commonest cause, in India, followed by viral type. In our patient we found out that there was an additional finding in form of moyamoya arteritis, which is a rare finding in children.


Keywords


Moyamoya disease, Meningoebcephalitis, Arteritis

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References


Suzuki J, Takaku A. Cerebrovascular “moyamoya” disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol. 1969;20(3):288-99.

Research committee on the pathology and treatment of spontaneous occlusion of the circle of Willis health labour sciences research grant for research on measures for intractable diseases. Guidelines for diagnosis and treatment of moyamoya disease (spontaneous occlusion of the circle of Willis). Neurol Med Chir (Tokyo). 2012;52(5):245-66.

Fujimura M, Tominaga T. Diagnosis of moyamoya disease: international standard and regional differences. Neurol Med Chir (Tokyo). 2015;55(3):189-93.

Kuroda S, Houkin K. Moyamoya disease: current concepts and future perspectives. Lancet Neurol. 2008;7(11):1056-66.

Kuriyama S, Kusaka Y, Fujimura M, Wakai K, Tamakoshi A, Hashimoto S et al. Prevalence and clinicoepidemiological features of moyamoya disease in Japan: findings from a nationwide epidemiological survey. Stroke. 2008;39(1):42-7.

Hishikawa T, Sugiu K, Date I. Moyamoya disease: a review of clinical research. Acta Med Okayama. 2016;70(4):229-36.

Harada A, Fujii Y, Yoneoka Y, Takeuchi S, Tanaka R, Nakada T. High-field magnetic resonance imaging in patient with moyamoya disease. J Neurosurg. 2001;94(2):233-7.

Kuroda S, Kamiyama H, Isobe M, Houkin K, Abe H, Mitsumori K. Cerebral hemodynamics and “re-Build up” phenomenon on electroencephalogram in children with moyamoya disease. Childs Nerv Syst. 1995;11(4):214-9.

Roach ES, Golomb MR, Adams R, Biller J, Daniels S, Ferriero D et al. Management of stroke in infants and children: a scientific statement from a special writing group of the American heart association stroke council and the council on cardiovascular disease in the young. Stroke. 2008;39(9):2644-91.

Dlamini N, Goyal S, Jarosz J, Hampton T, Siddiqui A, Hughes E. Paroxysmal episodes, “re-build up” Phenomenon and moyamoya disease. Epileptic Disord. 2009;11(4):324-8.