8 year-old boy presents with episodes of focal motor weakness



Doctor's Information

Name : Sofiya
Family :Sabouri
Affiliation : Radiology Departmnet,Shohada Tajrish Hospital,SBMU
Academic Degree: Assistant Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Arezou Negahdari


Patient's Information

Gender : Male
Age : 8


Case Section

Interventional Radiology


Clinical Summary

8 year-old boy presents with episodes of focal motor weakness.



Imaging Procedures and Findings

conventional angiography reveals marked stenosis of the supraclinoid internal carotid vasculature with proliferation of tiny collateral vessels presenting as puff of smoke.



The cause of this vascular disorder is unknown but can be treated with various external to internal vascular bypass surgeries such as encephaloduroarteriosynangiosis. MR angiography plays a useful role in assessing the patency of these shunts once surgically completed.


Final Diagnosis

moyamoya disease



Brant,William E,Fundamentals of diagnostic radiology,3th edition


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