Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report

Moyamoya syndrome (MMS) is characterized by progressive narrowing of intracranial arteries and the development of collateral vessel networks, often presenting with recurrent ischemic or hemorrhagic strokes. MMS poses significant challenges in diagnosis due to its overlapping symptoms with other cere...

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Main Authors: Kwan, Li Li, Abdul Rashid, Anna Misyail, Md Noh, Mohamad Syafeeq Faeez, Hoo, Fan Kee, Inche Mat, Liyana Najwa
Format: Article
Published: Springer Science and Business Media LLC 2024
Online Access:http://psasir.upm.edu.my/id/eprint/118138/
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author Kwan, Li Li
Abdul Rashid, Anna Misyail
Md Noh, Mohamad Syafeeq Faeez
Hoo, Fan Kee
Inche Mat, Liyana Najwa
author_facet Kwan, Li Li
Abdul Rashid, Anna Misyail
Md Noh, Mohamad Syafeeq Faeez
Hoo, Fan Kee
Inche Mat, Liyana Najwa
author_sort Kwan, Li Li
building UPM Institutional Repository
collection Online Access
description Moyamoya syndrome (MMS) is characterized by progressive narrowing of intracranial arteries and the development of collateral vessel networks, often presenting with recurrent ischemic or hemorrhagic strokes. MMS poses significant challenges in diagnosis due to its overlapping symptoms with other cerebrovascular conditions. Treatment aims to improve cerebral blood flow, reduce symptom frequency, and prevent future strokes. Management requires a multidisciplinary approach, including medical optimization and potential surgical intervention. This case report discusses a 37-year-old woman with poorly controlled type 2 diabetes and hyperlipidemia who experienced multiple strokes before being diagnosed with MMS. Initial symptoms included intermittent headaches, hemiparesis, and slurred speech. The presence of underlying metabolic conditions led to an initial assumption of atherosclerosis as the primary cause of her strokes. This case underscores the diagnostic challenge of distinguishing MMS from more common vascular conditions, highlighting the need for careful evaluation when typical risk factors like atherosclerosis do not fully explain recurrent cerebrovascular events.
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institution Universiti Putra Malaysia
institution_category Local University
last_indexed 2025-11-15T14:36:33Z
publishDate 2024
publisher Springer Science and Business Media LLC
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spelling upm-1181382025-06-25T07:32:23Z http://psasir.upm.edu.my/id/eprint/118138/ Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report Kwan, Li Li Abdul Rashid, Anna Misyail Md Noh, Mohamad Syafeeq Faeez Hoo, Fan Kee Inche Mat, Liyana Najwa Moyamoya syndrome (MMS) is characterized by progressive narrowing of intracranial arteries and the development of collateral vessel networks, often presenting with recurrent ischemic or hemorrhagic strokes. MMS poses significant challenges in diagnosis due to its overlapping symptoms with other cerebrovascular conditions. Treatment aims to improve cerebral blood flow, reduce symptom frequency, and prevent future strokes. Management requires a multidisciplinary approach, including medical optimization and potential surgical intervention. This case report discusses a 37-year-old woman with poorly controlled type 2 diabetes and hyperlipidemia who experienced multiple strokes before being diagnosed with MMS. Initial symptoms included intermittent headaches, hemiparesis, and slurred speech. The presence of underlying metabolic conditions led to an initial assumption of atherosclerosis as the primary cause of her strokes. This case underscores the diagnostic challenge of distinguishing MMS from more common vascular conditions, highlighting the need for careful evaluation when typical risk factors like atherosclerosis do not fully explain recurrent cerebrovascular events. Springer Science and Business Media LLC 2024 Article PeerReviewed Kwan, Li Li and Abdul Rashid, Anna Misyail and Md Noh, Mohamad Syafeeq Faeez and Hoo, Fan Kee and Inche Mat, Liyana Najwa (2024) Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report. Cureus, 16 (11). art. no. 73242. ISSN 2168-8184 https://www.cureus.com/articles/306946-navigating-diagnostic-complexities-and-treatment-strategies-of-moyamoya-syndrome-a-case-report 10.7759/cureus.73242
spellingShingle Kwan, Li Li
Abdul Rashid, Anna Misyail
Md Noh, Mohamad Syafeeq Faeez
Hoo, Fan Kee
Inche Mat, Liyana Najwa
Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report
title Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report
title_full Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report
title_fullStr Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report
title_full_unstemmed Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report
title_short Navigating diagnostic complexities and treatment strategies of Moyamoya syndrome: a case report
title_sort navigating diagnostic complexities and treatment strategies of moyamoya syndrome: a case report
url http://psasir.upm.edu.my/id/eprint/118138/
http://psasir.upm.edu.my/id/eprint/118138/
http://psasir.upm.edu.my/id/eprint/118138/