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Progression in Moyamoya Disease: Clinical Features, Neuroimaging Evaluation, and Treatment
Xin Zhang1,2,3,4,5, Weiping Xiao1,2,3,4,5, Qing Zhang6
1Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, China.
Abstract:
Moyamoya disease (MMD) is a chronic cerebrovascular disease characterized by progressive stenosis of the arteries of the circle of Willis, with the formation of collateral vascular network at the base of the brain. Its clinical manifestations are complicated. Numerous studies have attempted to clarify the clinical features of MMD, including its epidemiology, genetic characteristics, and pathophysiology. With the development of neuroimaging techniques, various neuroimaging modalities with different advantages have deepened the understanding of MMD in terms of structural, functional, spatial, and temporal dimensions. At present, the main treatment for MMD focuses on neurological protection, cerebral blood flow reconstruction, and neurological rehabilitation, such as pharmacological treatment, surgical revascularization, and cognitive rehabilitation. In this review, we discuss recent progress in understanding the clinical features, in the neuroimaging evaluation and treatment of MMD.
Insights
Moyamoya disease (MMD) is a rare cerebrovascular condition causing artery narrowing. This review covers MMD
Area of Science:
- Neurology
- Vascular Biology
- Medical Imaging
Background:
- Moyamoya disease (MMD) is a chronic cerebrovascular disorder.
- It involves progressive stenosis of the circle of Willis arteries and collateral vessel formation.
- MMD presents with complex clinical manifestations, necessitating comprehensive understanding.
Purpose of the Study:
- To review recent advancements in understanding Moyamoya disease.
- To discuss updated clinical features, neuroimaging evaluations, and treatment strategies for MMD.
- To provide a consolidated overview of MMD research progress.
Main Methods:
- Literature review of recent studies on Moyamoya disease.
- Analysis of epidemiological, genetic, and pathophysiological data.
- Evaluation of neuroimaging techniques and therapeutic interventions.
Main Results:
- Neuroimaging techniques have significantly enhanced the understanding of MMD's structural and functional aspects.
- Current treatments focus on neurological protection, revascularization, and rehabilitation.
- Progress has been made in clarifying MMD's clinical features and pathophysiology.
Conclusions:
- Continued research is vital for improving MMD diagnosis and management.
- Multidisciplinary approaches combining imaging and therapeutic interventions are key.
- Further understanding of MMD pathophysiology may lead to novel treatment strategies.
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