{
  "abstract": "Here we present the case of a paediatric patient with Down syndrome associated with Moyamoya disease. The patient came with symptoms of transient ischaemic attacks. Scans revealed occlusion of the internal carotid artery, showing a characteristic ‘puff of smoke’ appearance. The patient was then managed surgically by encephaloduroarteriosynangiosis alongside an anastomosis between the superficial temporal artery from the dura and the middle cerebral artery.",
  "authors": [
    {
      "affiliations": [
        "Medicine, K S Hegde Medical Academy, Mangaluru, Karnataka, India"
      ],
      "name": "Aiswarya Raju"
    }
  ],
  "title": "Association between trisomy 21 and ‘puff of smoke’ with an unusual presentation of transient ischaemic attack",
  "uid": "9a6b4747-5eef-577a-9973-c2fe1886184e"
}