Silent Moyamoya disease - A rare case report

Juna Musa; Masum Rahman; Ali Guy; Angela Guy; Kristi Saliaj; Abu Bakar Siddik; Fjolla Hyseni; Ketjana Elezi; Ina Kola; Anisa Cobo; Ilir Ahmetgjekaj

doi:10.1016/j.radcr.2021.03.019

Silent Moyamoya disease - A rare case report

Radiol Case Rep. 2021 Apr 9;16(6):1368-1373. doi: 10.1016/j.radcr.2021.03.019. eCollection 2021 Jun.

Authors

Juna Musa¹, Masum Rahman², Ali Guy³, Angela Guy⁴, Kristi Saliaj⁵, Abu Bakar Siddik⁶, Fjolla Hyseni⁷, Ketjana Elezi⁸, Ina Kola⁹, Anisa Cobo¹⁰, Ilir Ahmetgjekaj¹¹

Affiliations

¹ Department of Surgery Physiology and Biomedical Engineering, Mayo Clinic, 200 1st St, SW Floor 8 Rochester, MN, 55905, USA.
² Department of Neurological Surgery, Mayo Clinic, 200 1st St, SW Floor 8, Rochester, MN, 55905, USA.
³ Department of Physical Medicine and Rehabilitation, New York University, School of Medicine, NYU Medical Center, 550 1st Avenue, New York, NY, 10016, USA.
⁴ Health Emphasis California School of Professional Psychology Alliant International University, 1000 South Fremont Ave, Unit 5, Alhambra, CA, 91803, USA.
⁵ Mother Teresa hospital university, Rruga e Dibrës 372, Tirana, AL, 1000, Albania.
⁶ Department of Pain Medicine, Mayo Clinic, 4500 San Pablo Rd S, Jacksonville, FL, 32224, USA.
⁷ Department of Urology, NYU Langone Health, 11th and 12th Floors, 222 E 41st St, New York, NY, 10017, USA.
⁸ Pharmacist and master in Health management, University of Medicine, Tirana, AL, 1000, Albania.
⁹ Department of Burns and Plastic Surgery, Mother Teresa Hospital, Rruga e Dibrës 372, Tirana, AL, 1000 Albania.
¹⁰ University of Medicine, Tirana, AL, 1000, Albania.
¹¹ University Clinical Center, Clinic of Radiology, University For Business and Technology -Radiology, Pristina, Kosovo.

Abstract

Moyamoya is a rare cerebrovascular disorder marked by chronic, gradual blockage of the circle of Willis arteries, leading to characteristic collateral vessels, specifically cerebral angiography. The disease can develop in children and adults, although there are different clinical characteristics. Moyamoya disease occurs mainly in Japanese people but has been reported in all races of varying age distributions and clinical features. As a reason, Moyamoya disease has been under-recognized as a cause of hemorrhagic and ischemic strokes in Western nations. There is no proven solution at this time, and there is debate over current care methods. The authors identify a case of a 40-year-old male with a small subcutaneous nevus-like mass in his left orbit who was diagnosed with Moyamoya disease.

Keywords: Angiography; Cerebral; Cerebrovascular arteriopathy; Ischemic stroke; Moyamoya syndrome; Radiological findings.

Publication types

Case Reports