Moyamoya Disease was initially reported in 1957 as vessels resembling a puff of smoke, alongside hypoplasia of bilateral internal carotids. The true incidence remains elusive. Genetic studies point to familial occurrence of the disease, however some studies refute this, claiming that environmental factors are to blame. The treatment strategies remain an enigma, more so in our country where data is scarce. We present a case of an asymptomatic Moyamoya disease incidentally diagnosed in the work - up of Subarachnoid Hemorrhage. The basis of the management is being provided.
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