A Rare Case of Moyamoya Disease in Infancy: Complexities in Post-stroke Neurorehabilitation

Abstract

Although ischemic stroke in infants is not very common, it remains one of the causes of morbidity and mortality in children. One of the etiologies is Moyamoya disease, which remains a rare entity in Morocco. Management of this disease in the pediatric population remains precarious due to delayed diagnosis, given the diversity of clinical presentations and the lack of necessary technical means, such as MRI or angiography, allowing early diagnosis, as well as the lack of standardized international rehabilitation protocols and the absence of pediatric rehabilitation structures in underdeveloped countries. Through this case report of a four-month-old infant who suffered an ischemic stroke in a Moyamoya, we discuss the diagnostic difficulties and its rehabilitation challenges.