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While fever is a well-described precipitating factor of moyamoya-specific symptoms, moyamoya angiopathy (MMA) mimicking recurrent febrile seizures has never been reported before. Here, we report a case of MMA in a 4-year-old child who was misdiagnosed as simple febrile seizures on multiple occasions. This case underscores the importance of identifying early clinicoradiological clues of MMA for earlier diagnosis and better prognosis.