Moyamoya syndrome in a child with down syndrome.
Secondary Moyamoya disease, also known as Moyamoya syndrome has been rarely associated with Down syndrome. In pediatric patients, the usual presentation is that of ischemic stroke. Here is reported a 4-year-old child with Down syndrome and Moyamoya syndrome who presented with acute-onset right hemiplegia. A high index of suspicion is necessary to make the diagnosis.
Bhalala
Utpal S
US
Department of Pediatrics, Sir Hurkisondas Nurrotamdas Hospital and Research Centre, Mumbai, India. usbhalala@hotmail.com
Parekh
Pankaj R
PR
D002675:Child, Preschool; D004314:Down Syndrome / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D009072:Moyamoya Disease / Q000150:complications* / Q000175:diagnosis; D020521:Stroke / Q000175:diagnosis / Q000209:etiology*