Poliomyelitis, commonly known as “polio” is a paralytic and perilous disease caused by the poliovirus. Due to its highly contagious nature, the virus was a challenge to the world in the late 1980s. . Since 1988 the collective work of the Global Polio Eradication Initiative (GPEI), Centre for Disease Control and Prevention (CDC), and World Health Organization (WHO) through immunizations, communication awareness, and monitoring have helped the world exonerate polio. The mission of polio-free Pakistan was herculean and had confronted enormous challenges in different ways but came out with positive results. In 2019, with only two remaining polio-endemic countries, Pakistan and Afghanistan, GPEI launched an “Endgame strategy 2019-2023” which aims to eradicate polio globally, with a targeted focus, especially on polio-endemic countries, the plan emphasizes the early detection of polio cases for complete eradication and to restrict the spread of polio. Pakistan has achieved a milestone in combating polio despite having a web of factors that have thwarted Pakistan’s polio eradication efforts, but this is not the end, the struggle continues until we really get an internationally verified certification of Polio free nation, for this WHO has designed a multidisciplinary strategy 2022-2026 to really end this polio for once and for all.
We aimed to report the case of a Pakistani female who presented with MMD
and hyperthyroidism, and the worldwide literature review of the case
reports on MMD associated with hyperthyroidism. Methods: The study was
carried out using PRISMA’s recommendations. An electronic search on
PubMed, Cochrane Library, and Google Scholar was carried out. Articles
explaining the association between Moyamoya disease and thyroid-related
diseases were included. Results: A total of 31 studies were included in
the review, with the preponderance of Japanese females. The review has
systematically compiled in detail all the aspects of moyamoya syndrome
and thyroid disorders- from detailed histories of the included patients
to the treatment interventions used and their outcomes. Conclusion: The
authors are with the suggestion that more cases of MMD and its
association with other major factors should be presented in Pakistan as
well as in all parts of the world.
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