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Journal of Child Neurology
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Moyamoya Disease Presented With Migrainelike Headache in a 4-Year-Old Girl

Kürsad Aydin, MD

Department of Pediatric Neurology Selçuk University Faculty of Medicine Konya, Turkey

Çetin Okuyaz, MD

Department of Pediatric Neurology Mersin University Faculty of Medicine Mersin, Turkey

Kvlcm Gücüyener, MD

Department of Pediatric Neurology Gazi University Medical Faculty Ankara, Turkey

Ayse Serdaroglu, MD

Department of Pediatric Neurology Gazi University Medical Faculty Ankara, Turkey

Sergin Akpek, MD

Department of Pediatric Neurology Gazi University Medical Faculty Ankara, Turkey

A 4-year-old girl was admitted to our department with the complaints of severe headache, nausea, vomiting, and photophobia. She had a 1-year history of migrainelike headache that occurred every 1 to 2 months. Her neurologic examination was normal, but T2-weighted axial magnetic resonance imaging (MRI) of the brain showed flow void within the basal ganglia owing to parenchymal vascular collaterals. Magnetic resonance angiography and digital substraction carotid angiography showed both occlusion of the internal carotid artery in the supraclinoid portion and extensive parenchymal vascular collaterals. Because there was no evidence of risk factors for cerebral arterial occlusion and cerebral infarct or hemorrhage, she was diagnosed as having moyamoya disease. In any case of atypical migrainelike headache, a detailed investigation should be kept in mind to detect an underlying vascular disease such as moyamoya. (J Child Neurol 2003;18:361—363).

Journal of Child Neurology, Vol. 18, No. 5, 361-363 (2003)
DOI: 10.1177/08830738030180051501
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