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Pediatric Moyamoya Biomarkers: Narrowing the Knowledge Gap
Laura L Lehman1, Matsanga Leyila Kaseka2, Jeffery Stout3
1Department of Neurology, Boston Children's Hospital, Boston, MA; Harvard Medical School, Boston, MA.
Seminars in Pediatric Neurology
|November 7, 2022
Summary
Moyamoya disease, a progressive cerebrovascular disorder, requires better biomarkers for diagnosis and risk assessment in children. Identifying these biomarkers is crucial for determining optimal treatment, including revascularization surgery.
Area of Science:
- Neurology
- Vascular Biology
- Pediatric Medicine
Background:
- Moyamoya disease is a progressive cerebrovascular disorder characterized by stenosis in major cerebral arteries.
- It leads to the formation of collateral vessels and increases the risk of ischemic events like stroke and TIA in children.
- Cognitive decline can occur even without overt clinical symptoms.
Approach:
- This review synthesizes current knowledge on pediatric moyamoya biomarkers.
- It examines neurologic, cognitive, neuroimaging, genetic, and biologic markers.
- Gaps in research are identified to guide future investigations.
Key Points:
- Biomarkers are essential for accurate diagnosis and risk stratification in pediatric moyamoya.
- Current standard care for symptomatic moyamoya involves revascularization surgery.
- The role of revascularization in asymptomatic moyamoya remains debated, highlighting the need for better predictive tools.
Conclusions:
- Further research into pediatric moyamoya biomarkers is critical.
- Identifying reliable biomarkers will aid in personalized treatment strategies and surgical candidate selection.
- Understanding disease severity and ischemic risk through biomarkers can improve patient outcomes.
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