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J Neurol Neurosurg Psychiatry 75:1170 doi:10.1136/jnnp.2003.031393
  • Neurological picture

Unusual differential diagnosis of leptomeningeal enhancement: moyamoya disease

  1. J Gaa,
  2. S Weidauer
  1. Institute of Neuroradiology, Klinikum der Johann Wolfgang Goethe-Universität Frankfurt, Germany
  1. Correspondence to:
 Dr J Gaa
 Department of Neuroradiology, University of Frankfurt, Schleusenweg 2-16, 60528 Frankfurt, Germany; jochen.gaakgu.de

    We report on a 13 year old boy who presented with a focal left sided motoric seizure and a history of progressive headaches since 6 years of age. On neurological examination, motor function of the limbs, deep tendon reflexes, and sensory examination were normal, but there was slight left sided bradydisdiadochokinesis. Routine blood tests and anti-immune antibody screening as well as cerebrospinal fluid (CSF) analysis were normal. …

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