Orofacial characteristics and dental management in a child with moyamoya disease

BMJ Case Rep. 2021 May 21;14(5):e241211. doi: 10.1136/bcr-2020-241211.

Abstract

Moyamoya disease is a chronic, progressive intracranial arteriopathy. It is characterised by progressive stenosis/occlusion of distal intracranial carotid and cerebral arteries. It is associated with a high risk of ischaemic and haemorrhagic stroke. Hereditary, infectious and inflammatory factors have been found to be associated with this condition; however, its aetiology is still unclear. The estimation of disease prevalence is approximately 1.6 to 16.1 in 100 000 live births. This article presents the case of a 5-year-old girl child diagnosed with moyamoya disease, placing emphasis on the clinical and radiographic orofacial characteristics of the case and its dental management.

Keywords: healthcare improvement and patient safety; moyamoya; oral and maxillofacial surgery; paediatrics (drugs and medicines); stroke.

Publication types

  • Case Reports

MeSH terms

  • Carotid Arteries
  • Cerebral Arteries
  • Child
  • Child, Preschool
  • Dental Care
  • Family
  • Female
  • Humans
  • Moyamoya Disease* / complications
  • Moyamoya Disease* / diagnostic imaging