Moyamoya disease is characterized by progressive occlusion of distal internal carotid artery and its branches resulting in ischemic infarcts and collateral formation as a compensatory mechanism. Angiographic appearance of this collateral network is like "puff of smoke" which in Japanese language called "moyamoya." Moyamoya disease itself is very rare and is more common in Japanese population. This report presents a rare presentation of moyamoya disease.
A 46yearold male presented with sudden onset loss of consciousness followed by headache and vomiting. For full text ( Click here ).