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 CASE REPORT
Year : 2021  |  Volume : 69  |  Issue : 4  |  Page : 1032--1033

Transient Ischemic Attack after Eating Spicy Foods in Children: Think of Moya Moya Disease


1 Department of Neurology, St. John's Medical College Hospital, Sarjapura Road, Bangalore, Karnataka, India
2 Department of Neuroradiology, St John's Medical College Hospital, Hospital, Bangalore, Karnataka, India

Correspondence Address:
Thomas Mathew
Department of Neurology, St. Johns Medical College Hospital, Bangalore - 560 034, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.325347

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Moya Moya disease is an important cause for childhood strokes and morbidity. An early diagnosis and treatment can prevent strokes and disability. Here we report the case of an eight-year-old boy who had transient episodes of headache and hemiparesis secondary to Moya Moya disease. He was misdiagnosed as hemiplegic migraine, seizure disorder, paroxysmal non-kinesigenic dyskinesia and dissociative disorder during the past three years. The diagnosis was significantly delayed as an important clinical cue was overlooked. A detailed history showed that symptoms were precipitated on eating spicy food. This clinical pointer prompted evaluation for Moya Moya disease. MRI and MR angiogram confirmed Moya Moya disease.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow