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Recent experience with Moyamoya disease in Turkey
1Department of Radiology, Istanbul School of Medicine, Istanbul University, Capa, Turkey.
European Radiology
|May 5, 2000
Summary
Moyamoya disease, a rare cerebrovascular condition, can cause stroke and bleeding. Revascularization surgery, like encephalo-duro-arterio-synangiosis, can improve blood flow in some patients.
Area of Science:
- Neurology
- Vascular Surgery
- Radiology
Background:
- Moyamoya disease is a rare, progressive cerebrovascular disorder.
- It leads to stenosis of the internal carotid arteries and causes ischemic or hemorrhagic stroke.
- Early diagnosis and intervention are crucial for managing this condition.
Purpose of the Study:
- To present angiographic findings in moyamoya patients.
- To report the outcomes of revascularization surgery.
- To highlight a unique case of moyamoya disease with hyperphosphatemia.
Main Methods:
- Retrospective review of 13 moyamoya patients (age 2-50).
- Analysis of angiographic findings, including stenosis and collateral circulation.
- Evaluation of surgical outcomes following revascularization procedures.
Main Results:
- Patients presented with intracranial hemorrhage or cerebral ischemia sequelae.
- Angiography revealed specific arterial stenosis patterns and collateral formations.
- Three patients underwent revascularization surgery (EDAS and burrholes) with demonstrated improved blood flow on follow-up angiography.
- One young patient presented with hyperphosphatemia.
Conclusions:
- Moyamoya disease is a significant cause of stroke in both ischemic and hemorrhagic forms.
- Revascularization surgery can be an effective treatment to improve cerebral blood flow.
- The association of moyamoya disease with hyperphosphatemia warrants further investigation.
