Neurocognitive effects of Moyamoya disease and concomitant epilepsy

Elizabeth R Wallace1, Lisa M Koehl2

  • 1Department of Psychology, University of Kentucky, 171 Funkhouser Drive, Lexington, KY 40508, USA.

Abstract

Insights

Moyamoya disease (MMD) can cause significant cognitive decline, including executive dysfunction and memory deficits, particularly in adults. This case highlights the need to consider epilepsy and other neurological factors when assessing MMD-related cognitive changes.

Area of Science:

  • Neurology
  • Neuroscience
  • Cerebrovascular Medicine

Background:

  • Moyamoya disease (MMD) is a rare cerebrovascular disorder causing strokes and hypoperfusion.
  • Seizures and cognitive changes, particularly executive dysfunction, are observed in MMD, especially post-surgery.
  • Research on adult MMD neurocognition remains limited.

Observation:

  • This case report presents a detailed neurocognitive evaluation of an adult MMD patient with epilepsy.
  • The patient exhibited a distinct dysexecutive pattern.
  • Atypically poor visual and verbal memory performance was noted.

Findings:

  • The MMD patient demonstrated significant affective symptoms.
  • Substantial functional decline was reported by the patient.
  • Neurocognitive assessment revealed a prominent dysexecutive pattern and memory impairments.

Implications:

  • This case provides valuable insights into unique neurocognitive profiles in adult MMD.
  • It emphasizes the critical role of considering neurological comorbidities, such as epilepsy, in MMD.
  • Understanding these complex interactions is crucial for managing adult MMD patients.

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