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Pediatric Moyamoya Syndrome Secondary to Tuberculous Meningitis: A Case Report
We report the case of a female patient who initially presented at 6 years of age with TBM and developed moyamoya syndrome requiring revascularization surgery. Results She was found to have basilar meningeal enhancement and right basal ganglia infarcts. She was treated with 12 months of antituberculosis therapy and 12 months of enoxaparin and maintained on daily aspirin indefinitely. However, she developed recurrent headaches and transient ischemic attacks and was found to have progressive bilateral moyamoya arteriopathy. At age 11 years, she underwent bilateral pial synangiosis for the treatment of her moyamoya syndrome. ...
Source: Neurology Clinical Practice - January 18, 2023 Category: Neurology Authors: Kappel, A. D., Lehman, L. L., Northam, W. T., See, A. P., Smith, E. R. Tags: Clinical/Scientific Note Source Type: research

Epidemiology, investigation, management, and outcome  of headache in emergency departments (HEAD study)-A multinational observational study
CONCLUSION: Diagnosis and management of headache in the ED is challenging. A small group of patients have a serious secondary cause for their symptoms. There is wide variation in the use of neuroimaging and treatments. Further work is needed to understand the variation in practice and to better inform international guidelines regarding emergent neuroimaging and treatment.PMID:34726783 | DOI:10.1111/head.14230
Source: Headache - November 2, 2021 Category: Neurology Authors: Anne Maree Kelly Win Sen Kuan Kevin H Chu Frances B Kinnear Gerben Keijzers Mehmet A Karamercan Sharon Klim Tissa Wijeratne Sinan Kamona Colin A Graham Richard Body Tom Roberts Daniel Horner Said Laribi and the HEAD Study Group Source Type: research

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