Arevik Abramyan, Allen Ye Fu, Khushi Patel, Hai Sun, Sudipta Roychowdhury, Gaurav Gupta
In this article, we describe a rare and complex case of moyamoya syndrome in a 7-year-old boy with Down syndrome and atlantoaxial subluxation. The patient presented with an ischemic stroke in the left hemisphere and cervical cord compression with increased cord edema. Diagnostic digital subtraction angiography revealed unique patterns of vascular involvement, with retrograde flow through the anterior spinal artery, ascending cervical artery, occipital artery, and multiple leptomeningeal arteries compensating for bilateral vertebral artery occlusion...
January 25, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery