Anaesthetic Considerations for Interventional Neuroradiology in a Child with Moyamoya Disease - A Case Report

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Published: 2025-09-27
DOI: https://doi.org/10.82223/nja.vol2no1.34
Keywords:
Moyamoya disease, Anaesthetic considerations, Interventional Neuroradiology

Main Article Content

Dr Gurnal Pooja
Department of Anaesthesiology and Critical Care, AIIMS Bilaspur (HP), India.
V Sivapurapu
Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Bilaspur, India.
L. RanA
Department of Radiology, All India Institute of Medical Sciences (AIIMS), Bilaspur, India.
P. Sharma
Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Bilaspur, India.
P. Banik
Department of Anaesthesia and Critical Care, All India Institute of Medical Sciences (AIIMS), Bilaspur, India.

Abstract

Introduction: The Moyamoya disease is a chronic condition involving cerebrovascular system characterized by progressive stenosis and occlusion or narrowing of the terminal internal carotid arteries.


Case Presentation: Patient with severe cerebrovascular impairment with consequent cerebral ischemia and haemorrhage poses significant challenge due to compromised cerebral blood flow. The role of an anesthesiologist is particularly challenging in interventional neurological procedures such as revascularization as well as in digital subtraction angiography. These procedures require meticulous management of cerebral perfusion, hemodynamic stability and oxygenation to prevent ischemic complications or further deterioration in patients with pre-existing cerebral perfusion impairment.


Conclusion: We report a case of 11year male child with Moyamoya disease with right sided paresis who presented to us for digital subtraction angiography (DSA) under general anaesthesia.

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Article Details

Issue

Vol. 2 No. 1 (2025)

Section

Case Report
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Author Biography

Dr Gurnal Pooja, Department of Anaesthesiology and Critical Care, AIIMS Bilaspur (HP), India.

Assistant Professor, Department of Anaesthesiology and Critical Care, AIIMS Bilaspur (HP), India.

Pin Code:174001

How to Cite

1.
Pooja G, Sivapurapu V, RanA L, Sharma P, Banik P. Anaesthetic Considerations for Interventional Neuroradiology in a Child with Moyamoya Disease - A Case Report. NJA [Internet]. 2025 Sep. 27 [cited 2025 Oct. 9];2(1):49-52. Available from: https://njan.org.ng/index.php/home/article/view/34

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