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Case Reports in Critical Care
Volume 2018, Article ID 2591494, 4 pages
Case Report

Bilateral Cerebrovascular Stroke as an Initial Presenting Symptom of Moyamoya Disease

Lincoln Medical and Mental Health Center, 234 E 149Th St., Bronx, NY 10451, USA

Correspondence should be addressed to Ester Ilyayeva; gro.chhcyn@1eveyayli

Received 21 May 2018; Revised 16 October 2018; Accepted 29 October 2018; Published 13 November 2018

Academic Editor: Kurt Lenz

Copyright © 2018 Ester Ilyayeva et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Moyamoya disease is a rare condition affecting the circle of Willis and its branching arteries. While the pathogenesis is unclear, it causes progressive occlusion of multiple cerebral vessels leading to severe strokes. We report a case of a 47-year-old Hispanic woman with HTN presented with altered mental status and bilateral upper and lower extremity weakness with dystonic-like upper extremity movement. Serial brain CTs and angiography were performed which showed massive frontal and parietal cerebral infarcts with radiological evidence of moyamoya disease.