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Current Surgical Options for Moyamoya Disease
Julie Mayeku1, Miguel A Lopez-Gonzalez1
1Neurosurgery, Loma Linda University Medical Center, Loma Linda, USA.
Cureus
|November 11, 2020
Summary
Moyamoya disease (MMD) treatment involves surgical revascularization to prevent ischemic strokes. While its use for hemorrhagic stroke prevention is debated, surgical options offer a standard approach for managing MMD complications.
Area of Science:
- Neurology
- Vascular Surgery
- Cerebrovascular Diseases
Background:
- Moyamoya disease (MMD) is a rare cerebrovascular disorder.
- It involves progressive stenosis of the circle of Willis arteries.
- This leads to the formation of abnormal collateral vessels.
Purpose of the Study:
- To review current surgical management strategies for Moyamoya disease.
- To analyze recent data on surgical revascularization effectiveness.
- To provide insights based on expert experience.
Main Methods:
- Literature review of peer-reviewed articles on MMD surgical treatment.
- Analysis of recent clinical data and research findings.
- Inclusion of personal experience in surgical revascularization for MMD.
Main Results:
- Surgical revascularization is the standard treatment for preventing future strokes in MMD patients.
- Evidence supports its effectiveness in preventing ischemic stroke.
- The efficacy for preventing hemorrhagic stroke remains under investigation and is considered controversial.
Conclusions:
- Surgical revascularization is a key intervention for managing Moyamoya disease.
- It is particularly effective in mitigating ischemic stroke risk.
- Further research is needed to clarify its role in preventing hemorrhagic events.
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