Abstract
Moyamoya disease is a chronic cerebrovascular disease, more common in Japanese and Asian population. It is rare in European and
American population. The typical presentation is seizure, Transient Ischemic Attack or Stroke and diagnosed radiologically with typical
angiographic appearance of the vascular collateral network. We are reporting this unusual case of Moyamoya Disease in a Caucasian
adult who presented to A&E with an episode of tonic colonic seizure. In past she had Recurrent Transient Ischemic Attacks so as a part
of workup for stroke and seizure, all relevant workup was done. Carotid doppler showed an increase in end-diastolic flow velocity and
a decrease in vascular resistance in both external carotid arteries. Subsequently, MRI Brain and MRA showed a rare Moyamoya
disease. This disease should be considered an important differential in patients presenting with recurrent seizure episodes or
neurological symptoms.
Muhammad Mohsin Sajjad, Sidra Yousaf. (2020) A case report of Moya Moya disease presenting with seizure in a Caucasian adult., Isra Medical Journal, Volume 12, Issue 3.
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