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Modeling Mitochondrial Disease Using Brain Organoids: A Focus on Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like Episodes
Published on: October 10, 2025
[Moyamoya disease]
P Papanagiotou1, I Q Grunwald, M Politi
1Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes Homburg/Saar. panagiotis_papanagiotou@hotmail.com
Abstract:
Moyamoya disease is an idiopathic progressive vasculopathy characterized by slowly progressive narrowing involving the distal internal carotid artery and the proximal circle of Willis. Collateral vessels develop to compensate for the slowly progressive stenosis. These enlarged collaterals appear as a "puff of smoke" on angiography, which gives the disease its name. This review discusses the clinical manifestation, imaging findings, and angiographic features.
Insights
Moyamoya disease is a rare condition causing progressive narrowing of brain arteries. This review covers its clinical signs, imaging, and characteristic "puff of smoke" angiographic appearance.
Area of Science:
- Neurology
- Vascular Medicine
- Radiology
Background:
- Moyamoya disease is an idiopathic progressive vasculopathy.
- Characterized by progressive narrowing of the distal internal carotid artery and proximal circle of Willis.
- Collateral vessels form to compensate for stenosis, creating a characteristic angiographic appearance.
Purpose of the Study:
- To review the clinical manifestations of Moyamoya disease.
- To discuss the key imaging findings associated with the condition.
- To describe the distinct angiographic features of Moyamoya disease.
Main Methods:
- Literature review of Moyamoya disease.
- Analysis of clinical presentation data.
- Evaluation of diagnostic imaging and angiography.
Main Results:
- Moyamoya disease presents with progressive stenosis of major cerebral arteries.
- Characteristic collateral vessels form, appearing as a 'puff of smoke' on angiography.
- Clinical symptoms vary, often related to ischemic events or hemorrhage.
Conclusions:
- Moyamoya disease requires accurate diagnosis through clinical, imaging, and angiographic evaluation.
- Understanding its features is crucial for appropriate patient management.
- This review provides a comprehensive overview for clinicians and researchers.
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