ArticleCureus2025
Delayed Diagnosis of Vertebrobasilar Artery Stenosis Developed During Follow-Up of Two Patients With Pediatric-Onset Moyamoya Disease.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Moyamoya disease is characterized by bilateral stenosis of the terminal portions of the internal carotid arteries, whereas stenotic lesions in vertebrobasilar artery stenosis are reported less frequently. Moreover, de novo stenosis in these vessels during follow-up is exceptionally uncommon and rarely reported in the literature. Herein, we report two patients with pediatric-onset moyamoya disease who developed vertebrobasilar artery stenosis during follow-up after initial surgery. The first patient received initial surgery at the age of four years and demonstrated progression of bilateral vertebral artery stenosis at age 10 that eventually led to postoperative cerebellar ischemic stroke. The second case was diagnosed as moyamoya disease at the age of 15 years and developed basilar artery stenosis with shrinkage of the outer diameter at age 28. Vertebrobasilar stenosis of both patients was undiagnosed when it first appeared, and their diagnosis was delayed for years. The first patient carried the
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