BMJ Case Rep. 2025 Dec 31;18(12):e267602. doi: 10.1136/bcr-2025-267602.
ABSTRACT
Here we present the case of a paediatric patient with Down syndrome associated with Moyamoya disease. The patient came with symptoms of transient ischaemic attacks. Scans revealed occlusion of the internal carotid artery, showing a characteristic 'puff of smoke' appearance. The patient was then managed surgically by encephaloduroarteriosynangiosis alongside an anastomosis between the superficial temporal artery from the dura and the middle cerebral artery.
PMID:41475869 | DOI:10.1136/bcr-2025-267602