Moyamoya disease is a rare disorder where there is a stenosis of the internal carotid arteries and its proximal branches. The disorder has variable presentations with neurological, cognitive and depressive features. The disorder may also be seen secondary to peri-infectious and neurological sequel. We present herewith a case of a 14-year-old girl with tuberculous meningitis and ventriculoperitoneal (VP) shunting having depressive features that was diagnosed on evaluation to have moyamoya disorder.
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