Implementation and Rationale for a Unified Clinical and Imaging Protocol for Evaluation and Treatment of Moyamoya...

Area of Science:

• Neurology
• Vascular Medicine
• Radiology

Background:

• Moyamoya disease (MMD) is a rare, complex cerebrovascular disorder.
• Establishing effective evaluation protocols for MMD is challenging, even at specialized centers.
• A structured, multidisciplinary approach is crucial for optimal MMD patient management.

Purpose of the Study:

• To describe the implementation and rationale of a comprehensive multidisciplinary evaluation strategy for adult Moyamoya disease patients.
• To outline a detailed protocol for the thorough clinical, imaging, and referral process in MMD.

Main Methods:

• Implementation of a multidisciplinary collaboration and evaluation strategy.
• Initial thorough clinical and laboratory assessment by a vascular neurologist.
• Comprehensive imaging evaluation including angiographic, parenchymal, and cerebrovascular functionality assessment.
• Referrals to specialized consulting services, including vascular neurosurgery.

Main Results:

• The described protocol facilitates a systematic and thorough evaluation of adult Moyamoya disease patients.
• Integration of clinical, imaging, and surgical expertise ensures comprehensive patient assessment.
• The strategy aims to optimize diagnostic accuracy and treatment planning for MMD.

Conclusions:

• A comprehensive, multidisciplinary evaluation protocol is essential for managing Moyamoya disease.
• This structured approach enhances the evaluation and treatment of adult MMD patients.
• The described strategy provides a model for specialized centers dealing with rare cerebrovascular conditions.