Moyamoya disease in Washington State and California

Ken Uchino1, S Claiborne Johnston, Kyra J Becker

  • 1Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA. uchinok@upmc.edu

Neurology
|September 28, 2005
PubMed

Insights

Moyamoya disease incidence in California and Washington was 0.086 per 100,000 persons. Asian Americans showed a significantly higher moyamoya disease rate compared to white individuals.

Area of Science:

  • Neurology
  • Epidemiology
  • Public Health

Background:

  • Moyamoya disease is a rare cerebrovascular disorder.
  • Understanding its epidemiology is crucial for public health planning.

Purpose of the Study:

  • To determine the incidence and demographic patterns of moyamoya disease in California and Washington.
  • To compare incidence rates across different ethnic groups.

Main Methods:

  • Analysis of hospital discharge databases from California and Washington.
  • Inclusion of diagnoses from 1987 to 1998.
  • Calculation of incidence rates and ethnicity-specific rate ratios.

Main Results:

  • A total of 298 moyamoya disease diagnoses were identified.
  • The overall incidence was 0.086 per 100,000 persons.
  • Asian Americans had the highest incidence rate ratio (4.6) compared to whites, followed by African Americans (2.2). Hispanic incidence was lower (0.5).

Conclusions:

  • Moyamoya disease incidence in the studied US regions is lower than in Japan.
  • Significant ethnic disparities in moyamoya disease incidence exist, with Asian Americans disproportionately affected.
  • Further research into the causes of these disparities is warranted.

Related Concept Videos

Huntington Disease l: Introduction01:21

Huntington Disease l: Introduction

Huntington disease or HD is a progressive, fatal neurodegenerative disorder inherited in an autosomal dominant pattern.PathophysiologyIt is caused by expansion of the CAG trinucleotide repeat in the HTT gene on chromosome 4 (4p16.3), producing an abnormal huntingtin protein with an expanded polyglutamine tract. This misfolded protein disrupts cellular function, leading to neuronal death. Normal alleles have ≤26 repeats, 27–35 are intermediate (risk of expansion), 36–39 show reduced penetrance,...
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
Transient Ischemic Attack l: Introduction01:26

Transient Ischemic Attack l: Introduction

A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...
Alzheimer's Disease: Overview01:26

Alzheimer's Disease: Overview

Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ and tau...