摘要：Introduction: Moya Moya disease is a rare health condition with unknown etiology. Because of the pathological process in the patient vessels we can observe narrowing or occlusion of distal part of internal carotid artery and proximal part of anterior and medial cerebral artery, which is characteristic for this disease. The disease occurs most often among asian women and it usually affects patients in their first decade of life or 3-4 decade. Case presentation: Four year old female suffered from headaches, dizziness as well as progressive paroxysmal hemiparesis and speech disorder. The symptoms were recurrent and lasted for two years. MRI and MRA were performed and revealed pathological changes in arteries of scull base and pathological collateral arteries, characteristic for moyamoya disease. Surgical treatment: Multiple burr hole surgery was performed. Holes were made in the left fronto-temporo-parietal area, peritoneal straps were inserted into the subarachnoidal area in order to start revascularization process. Conclusion: Presented technique is preferred among children suffering from moya moya disease because of the safety of the technique and good treatment effects. There is no need to perform by-pass surgery which is also considered as big advantage of presented technique.
