Moyamoya disease in a Moroccan baby: a case report
Abstract Background A stroke in a baby is uncommon, recent studies suggested that their incidence is rising. Moyamoya disease is one of the leading causes of stroke in babies. This condition is mostly described in Japan. In Morocco, moyamoya disease has rarely been reported and a few cases were publ...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13256-018-1642-y |
| _version_ | 1818332952308744192 |
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| author | Abdelhafid Houba Nisrine Laaribi Mohammed Meziane Abdelhamid Jaafari Khalil Abouelalaa Mustapha Bensghir |
| author_facet | Abdelhafid Houba Nisrine Laaribi Mohammed Meziane Abdelhamid Jaafari Khalil Abouelalaa Mustapha Bensghir |
| author_sort | Abdelhafid Houba |
| collection | DOAJ |
| description | Abstract Background A stroke in a baby is uncommon, recent studies suggested that their incidence is rising. Moyamoya disease is one of the leading causes of stroke in babies. This condition is mostly described in Japan. In Morocco, moyamoya disease has rarely been reported and a few cases were published. We report a rare Moroccan case of a 23-month-old baby boy who presented with left-sided hemiparesis and was diagnosed as having moyamoya disease. Case presentation A 23-month-old full-term Moroccan baby boy born to a non-consanguineous couple was referred to our hospital with the complaint of sudden onset left-sided hemiparesis. On neurological examination, there were no signs of meningeal irritation, his gait was hemiplegic, tone was decreased over left side, power was 2/5 over left upper and lower limb, and deep tendon reflexes were exaggerated. Preliminary neuroimaging suggested an arterial ischemic process. Clinical and laboratory evaluation excluded hematologic, metabolic, and vasculitic causes. Cerebral angiography confirmed the diagnosis of moyamoya disease. Our patient was treated with acetylsalicylic acid 5 mg/kg per day and referred to follow-up with pediatric neurosurgeon. Cerebral revascularization surgery using encephaloduroarteriosynangiosis was performed. At 8-month follow-up, his hemiparesis had improved and no further ischemic events had occurred. Conclusion This case highlights the importance of considering moyamoya disease to be one of the classic etiologies of acute ischemic strokes in children from North Africa. It also emphasizes the rare presentation among the African population and the use of neurovascular imaging techniques to facilitate diagnosis of moyamoya disease. |
| first_indexed | 2024-12-13T13:43:55Z |
| format | Article |
| id | doaj.art-a491ae40ca5840118a8b29ac19159dc7 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-13T13:43:55Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-a491ae40ca5840118a8b29ac19159dc72022-12-21T23:43:30ZengBMCJournal of Medical Case Reports1752-19472018-06-011211510.1186/s13256-018-1642-yMoyamoya disease in a Moroccan baby: a case reportAbdelhafid Houba0Nisrine Laaribi1Mohammed Meziane2Abdelhamid Jaafari3Khalil Abouelalaa4Mustapha Bensghir5Department of Anesthesiology, Military Hospital Mohammed V Rabat, Faculty of Medicine and Pharmacy, University of Mohammed VDepartment of Pediatric, Children’s Hospital Rabat, Faculty of Medicine and Pharmacy, University of Mohammed VDepartment of Anesthesiology, Military Hospital Mohammed V Rabat, Faculty of Medicine and Pharmacy, University of Mohammed VDepartment of Anesthesiology, Military Hospital Mohammed V Rabat, Faculty of Medicine and Pharmacy, University of Mohammed VDepartment of Anesthesiology, Military Hospital Mohammed V Rabat, Faculty of Medicine and Pharmacy, University of Mohammed VDepartment of Anesthesiology, Military Hospital Mohammed V Rabat, Faculty of Medicine and Pharmacy, University of Mohammed VAbstract Background A stroke in a baby is uncommon, recent studies suggested that their incidence is rising. Moyamoya disease is one of the leading causes of stroke in babies. This condition is mostly described in Japan. In Morocco, moyamoya disease has rarely been reported and a few cases were published. We report a rare Moroccan case of a 23-month-old baby boy who presented with left-sided hemiparesis and was diagnosed as having moyamoya disease. Case presentation A 23-month-old full-term Moroccan baby boy born to a non-consanguineous couple was referred to our hospital with the complaint of sudden onset left-sided hemiparesis. On neurological examination, there were no signs of meningeal irritation, his gait was hemiplegic, tone was decreased over left side, power was 2/5 over left upper and lower limb, and deep tendon reflexes were exaggerated. Preliminary neuroimaging suggested an arterial ischemic process. Clinical and laboratory evaluation excluded hematologic, metabolic, and vasculitic causes. Cerebral angiography confirmed the diagnosis of moyamoya disease. Our patient was treated with acetylsalicylic acid 5 mg/kg per day and referred to follow-up with pediatric neurosurgeon. Cerebral revascularization surgery using encephaloduroarteriosynangiosis was performed. At 8-month follow-up, his hemiparesis had improved and no further ischemic events had occurred. Conclusion This case highlights the importance of considering moyamoya disease to be one of the classic etiologies of acute ischemic strokes in children from North Africa. It also emphasizes the rare presentation among the African population and the use of neurovascular imaging techniques to facilitate diagnosis of moyamoya disease.http://link.springer.com/article/10.1186/s13256-018-1642-yAcute strokeMoyamoya diseaseCerebral angiographyInfant |
| spellingShingle | Abdelhafid Houba Nisrine Laaribi Mohammed Meziane Abdelhamid Jaafari Khalil Abouelalaa Mustapha Bensghir Moyamoya disease in a Moroccan baby: a case report Journal of Medical Case Reports Acute stroke Moyamoya disease Cerebral angiography Infant |
| title | Moyamoya disease in a Moroccan baby: a case report |
| title_full | Moyamoya disease in a Moroccan baby: a case report |
| title_fullStr | Moyamoya disease in a Moroccan baby: a case report |
| title_full_unstemmed | Moyamoya disease in a Moroccan baby: a case report |
| title_short | Moyamoya disease in a Moroccan baby: a case report |
| title_sort | moyamoya disease in a moroccan baby a case report |
| topic | Acute stroke Moyamoya disease Cerebral angiography Infant |
| url | http://link.springer.com/article/10.1186/s13256-018-1642-y |
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