Functional recovery in a child with Moyamoya disease

Dear Editor Moyamoya disease (MMD), ‘puff of smoke’ in Japanese is a rare but progressive cerebrovascular anomaly characterized by bilateral stenosis and occlusion of the arteries that comprise Willis circle. Collateral vessels can be observed with cerebral angiogram. Moyamoya disease is usually seen with ischemic cerebrovascular strokes in children while it is derived from hemorrhage in adults. After strokes, neurological sequels usually appear such as transient ischemic attacks, motor deficits, sensory disorder, involuntary movement, recurrent headaches, seizures and cognitive disorders in pediatric patients. Due to recurrent strokes, severe functional disorders and death can be seen, even so early identification and treatment of the lesions is vital. In the literature there is inadequate amount of knowledge about physical rehabilitation in MMD generally the studies have mostly focused on applications and complications of revascularization surgery techniques1,2,3.