Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2023; 11(13): 3076-3085
Published online May 6, 2023. doi: 10.12998/wjcc.v11.i13.3076
Idiopathic steno-occlusive disease with bilateral internal carotid artery occlusion: A Case Report
Sherifa Ahmed Hamed, Hosam Abozaid Yousef
Sherifa Ahmed Hamed, Department of Neurology and Psychiatry, Assiut University, Faculty of Medicine, Assiut 71516, Assiut, Egypt
Hosam Abozaid Yousef, Department of Radiology, Assiut University, Faculty of Medicine, Assiut 71516, Assiut, Egypt
Author contributions: Hamed SA performed the clinical follow-ups of the patient, wrote the manuscript and had the final responsibility to submit the manuscript for publication; Yousef HA performed the neuroimaging, verified the underlying data and interpretation of the results and final approval of the manuscript.
Informed consent statement: The consent form to treat the child and to publish the child’s clinical, laboratory and imaging date and treatment has been signed by the child’s father.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sherifa Ahmed Hamed, MD, Professor, Department of Neurology and Psychiatry, Assiut University, Faculty of Medicine, Assiut University Hospital Street, No. 1, Assiut 71516, Assiut, Egypt. hamedsherifa@aun.edu.eg
Received: December 19, 2022
Peer-review started: December 19, 2022
First decision: February 17, 2023
Revised: February 23, 2023
Accepted: March 27, 2023
Article in press: March 27, 2023
Published online: May 6, 2023
Processing time: 126 Days and 11.7 Hours
Core Tip

Core Tip: Stroke in children is a significant cause of long-lasting morbidity. The advances in neuroimaging and laboratory investigations serve an important role in proper evaluation of stroke in children and identification of its potential etiologies, risk factors and outcomes. Moyamoya disease (MMD) is a rare progressive non-inflammatory steno-occlusive arteriopathy of the large cerebral blood vessels. It is a rare cause of ischemic stroke and recurrent transient attacks in children. The disease is very under-recognized in different areas of the world except East Asia, predominantly Japan. MMD can be sporadic or familial. The Japanese term “moyamoya” refers to the puff of smoke morphology of the dilated basal collateral vessels within the brain tissue seen on cerebral angiography. Compared to other arteriopathies, MMD is unique as its treatment solely relies on surgical revascularization. Therefore, increasing reporting and evaluation of cases with MMD from different ethnicities may help in better understanding of its causes and proper management.