{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T15:08:58Z","timestamp":1774537738483,"version":"3.50.1"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Our aim was to describe a patient who experienced a postpneumococcal Moyamoya syndrome (MMS), with a great involvement of the posterior cerebral circulation, and to review the MMS postinfective cases. A 55-year-old Pakistani man with a history of pneumococcal meningitis 3\u2005months before developed acute headache, left otalgia and body paresthesiae. Brain CT showed a right occipital ischaemic lesion. Seven days later, he developed acute left haemianopsia, haemiplegia, haemineglect and \u2018frontal\u2019 cognitive and behavioural symptoms. A second brain CT and MRI disclosed an increase in the occipital lesion and the appearance of a further one in the right frontal lobe. Cerebral CT and MRI-angiography were consistent with Moyamoya vessel alterations. Treatment with antiplatelets, methylprednisolone, followed by prednisone tapering, and motor rehabilitation began. Six months later, no relapses had occurred. Our case represents a delayed manifestation of postmeningitis vasculopathy. Meningitis may represent a risk factor for developing a disabling cerebrovascular disease like MMS.<\/jats:p>","DOI":"10.1136\/bcr-2012-006726","type":"journal-article","created":{"date-parts":[[2013,2,7]],"date-time":"2013-02-07T04:24:04Z","timestamp":1360211044000},"page":"bcr2012006726","source":"Crossref","is-referenced-by-count":17,"title":["Postpneumococcal Moyamoya syndrome case report and review of the postinfective cases"],"prefix":"10.1136","volume":"2013","author":[{"given":"Federica","family":"Pinardi","sequence":"first","affiliation":[{"name":"Neurological Unit, S. Orsola-Malpighi University Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Stracciari","sequence":"additional","affiliation":[{"name":"Neurological Unit, S. Orsola-Malpighi University Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Spinardi","sequence":"additional","affiliation":[{"name":"Neuroradiology Unit, S. Orsola-Malpighi University Hospital, Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Guarino","sequence":"additional","affiliation":[{"name":"Neurological Unit, S. 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