Understanding Moyamoya Disease Through Zano's Story of Resilience
By Neontle Mogomotsi
For many parents, the first signs that something is wrong with their child can be easy to dismiss. A delayed milestone, a subtle change in speech, and a symptom that appears one day and disappears the next.
For Valencia Msibi, those signs would become the beginning of a journey filled with unanswered questions, hospital visits, faith, and an unwavering determination to fight for her daughter.
Her daughter, Zanokuhle, is bubbly, kind-hearted, and full of personality.
“She’s my best friend,” her mother says with a smile. “She cheers me up all the time, especially when she says ‘Hi Mommy’ in her tiny voice. She brings out the best in me and has shown me a side of myself I never knew existed.”
Today, Zano is thriving in many ways. But the road to where she is now has been anything but easy.
The Day Everything Changed
On 4 January 2023, Zano experienced what her mother later learned was a mini stroke that initially went undetected. She began drooling, one side of her face became swollen, her speech was delayed, and her right hand was no longer functioning as it normally would.
At the time, CT scans failed to provide clear answers. Months later, on 13 August 2023, the family received information that would begin to shed light on what might be happening.
“It felt like I was dreaming,” her mother recalls. “I was confused and had so many questions.”
Even now, the search for answers continues.
“We’ve done every test possible, including genetic testing, and everything came back normal. We still don’t fully understand what caused it.
Understanding Moyamoya Disease
Like many parents suddenly introduced to a rare condition, she found herself researching, reading medical information, and asking specialists countless questions. From her understanding, Moyamoya disease affects the blood vessels supplying the brain.
“The brain arteries become narrow and eventually block the blood vessels from supplying blood and oxygen to the brain. New blood vessels then form, and they look like smoke.”
The word “Moyamoya” is a Japanese term meaning “a puff of smoke,” describing the appearance of these tiny blood vessels on brain scans.
For families, however, the condition is far more than a medical term. It can mean strokes, developmental challenges, therapy, uncertainty, and ongoing monitoring.
Learning to Become Her Child’s Biggest Advocate
Through it all, one lesson has remained constant. “Do not take anything lightly when it comes to your child.”
She encourages parents to trust their instincts and seek professional medical advice whenever something doesn’t seem right.
“If there’s something you don’t understand about your child’s health, don’t diagnose it yourself. Consult a doctor.”
The experience has transformed her as a mother.
“I’ve learned patience, accountability, love, support, and responsibility.”
Yet beyond the medical appointments and therapy sessions, life at home remains beautifully ordinary. Zano spends her days playing with toys, carrying around her beloved “Pupu,” and filling the house with laughter. Those everyday moments, her mother says, are the ones she treasures most.
The Emotional Reality Behind the Diagnosis
Watching your child experience a medical crisis leaves a lasting impact. For Valencia, the emotional toll was overwhelming.
“I became forgetful. I was angry. I couldn’t understand why she couldn’t do certain things independently.”
Much of her energy became focused on being by her daughter’s side.
“I just wanted to be with my baby girl. ICU or not.”
While fear and frustration were part of the journey, faith became her anchor.
“I’ve always believed in God, but I became much closer to Him through this experience.”
Support from family members, cousins, medical professionals, and particularly Dr Sarah Berkenfeld also helped her navigate some of the darkest moments.
The Financial Burden Families Often Carry Alone
For many families living with rare medical conditions, treatment extends far beyond hospital walls. Therapies, transport, consultations, and ongoing care come at a high cost.
“It is very expensive,” she says.
Even now, monthly expenses related to Zano’s care can reach between R4,000 and R4,500. The financial pressure is a reality many caregivers quietly carry while focusing on their child’s recovery.
Celebrating Every Victory
Despite the challenges, there is plenty worth celebrating.
“She is a fighter,” her mother says proudly.
One of the most encouraging developments has been seeing Zano’s speech improve. She is also now able to dress and undress herself independently, a milestone that means far more than many people realise. And while her mother beams with pride over every achievement, she laughs when talking about one of Zano’s greatest strengths.
“She’s very technology smart.”
It’s a reminder that children are never defined by their diagnosis. They are defined by their personalities, their dreams, their resilience, and their ability to surprise us.
Creating Awareness for Moyamoya Disease
One reason she chose to share her story is simple.
“I don’t want to see any parent go through what I’ve gone through.”
She hopes that greater awareness of Moyamoya disease will encourage parents to seek answers when something doesn’t seem right and to advocate fiercely for their children.
Her advice to families walking similar journeys is heartfelt.
“Be patient. Never give up on your child. Don’t allow anyone to discourage you. Keep striving for your child.”
A Mother’s Promise
When asked what has carried her through the uncertainty, she doesn’t hesitate.
“God, family, and hard work.”
And when asked what she wants her daughter to know, her answer captures the heart of this entire journey.
“I will always be there for her. I will never give up. I will fight until my last breath to make her happy and safe. I love her so much.”
Because beyond the diagnosis, beyond the scans, therapy sessions, and unanswered questions, this is ultimately a story about a mother’s love.
A love that refuses to give up, a love that continues to fight, and a love that turns even the most difficult journey into a testimony of faith, hope, and resilience.
Connect with Zano & Valencia:
Instagram: @zano.kuhle2026
Tiktok: @zanokuhle2026
_ In The Room
Published by Neontle Mogomotsi




