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

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.