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Doctors Cure 13-Year-Old Child of Rare Moyamoya Disease

A rare and complex condition, Moyamoya disease was successfully treated in a 13-year-old patient at M. Iashvili Children’s Central Hospital. The child was admitted to the hospital with a pericardial hematoma and acute obstructive hydrocephalus, leading doctors to urgently opt for drainage to stabilize the patient’s critical condition and preserve their life immediately upon arrival.

Magnetic resonance imaging (MRI) revealed an ischemic stroke, and further angiography confirmed the diagnosis of Moyamoya disease, a rare condition characterized by the progressive damage of the brain’s blood vessels. The cause of the disease remains unknown in the field of medicine, but Iashvili Children Hospital's team of specialists, in collaboration with leading experts in the network, devised an effective treatment strategy.

"Before the surgery, the doctors informed me of all potential complications. My healthy child, who seemed fine one moment, suddenly became critically ill. I honestly lost all hope. I can't even find the words to express my gratitude to the doctors," recalls the child's mother. Doctors emphasized the success achieved through collective effort: "We decided to perform pial synangiosis, a procedure that involves fixing the superficial temporal artery to the brain tissue. This method ultimately stimulates the creation of new blood vessels and significantly reduces the risk of future ischemic strokes."

The treatment was a success, and the child has now fully returned to a normal lifestyle, free of the life-threatening complications of Moyamoya disease.

Pulmonary Center

The Pulmonary Center specializes in the diagnosis, treatment, and management of various pulmonary pathologies. The involvement of a multidisciplinary team ensures personalized ambulatory services for pediatric patients aged 0 to 18 who require specialized care for congenital, acquired, allergic, and rare pulmonary conditions, as well as tuberculosis and diseases of the thoracic cavity organs. The treatment process includes specialists from various fields (pediatricians, pediatric pulmonologists, phthisiatrists, allergists, pediatric surgeons, endoscopists, and radiologists).

The center successfully manages diseases associated with lung collapse, pleural complications, and acute respiratory failure, as well as acute respiratory infections (acute bronchitis, croup, bronchiolitis), chronic pulmonary diseases (cystic fibrosis, interstitial pneumonia, bronchial asthma), and pulmonary pathologies related to neuro-muscular complications. The center also provides differential diagnosis for suspected tuberculosis cases.

In terms of respiratory system diagnostics, a full spectrum of instrumental and laboratory tests is available, including high-tech and specific examinations, such as:

• Spirometry – assessment of external respiratory function
• Basic allergic testing
• Computed tomography (CT)
• Radiological examinations
• Echocardiographic study of the thoracic cavity
• Endoscopic diagnostics, including bronchoscopy
• Early diagnosis of wheezing using the Wheeze Scan apparatus
• Complete viral panel testing for respiratory system acute infections based on the Lugar Laboratory
Laboratory studies, including bacterial, biochemical, and immunological investigations

International Conference on Pediatric Endocrinology and Diabetes