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Current Understanding of Moyamoya Disease (MMD) and Associated Neuropsychiatric Outcomes
Alexei Antonov1, Anthony Terraciano1, Muhammed Amir Essibayi2,3
1Albert Einstein College of Medicine, Bronx, NY, USA.
Abstract:
Moyamoya disease (MMD) is a rare cerebrovascular disorder characterized by the progressive narrowing and occlusion of the intracranial internal carotid arteries, leading to the formation of abnormal collateral vessels. MMD primarily affects the cerebrovascular system, and evidence suggests it is associated with various neuropsychiatric outcomes. This manuscript aims to provide an overview of the current understanding of MMD, including its epidemiology, pathophysiology, clinical manifestations, and diagnosis. Furthermore, it explores the emerging research on the neuropsychiatric sequelae of MMD, such as cognitive impairment, psychiatric disorders, and quality of life. The manuscript concludes with the challenges in managing MMD-related neuropsychiatric outcomes and potential avenues for future research.
Insights
Moyamoya disease (MMD) is a rare cerebrovascular disorder causing narrowed brain arteries and abnormal vessels. Research highlights its connection to significant neuropsychiatric outcomes, impacting cognition and quality of life.
Area of Science:
- Neurology
- Vascular Biology
- Neuropsychiatry
Background:
- Moyamoya disease (MMD) is a rare, progressive cerebrovascular disorder.
- It involves the narrowing and occlusion of intracranial arteries, leading to collateral vessel formation.
- MMD is increasingly recognized for its association with diverse neuropsychiatric outcomes.
Purpose of the Study:
- To provide a comprehensive overview of Moyamoya disease.
- To explore the epidemiology, pathophysiology, clinical features, and diagnostic approaches to MMD.
- To review current research on the neuropsychiatric sequelae of MMD.
Main Methods:
- Literature review and synthesis of existing research on Moyamoya disease.
- Analysis of studies investigating the link between MMD and neuropsychiatric conditions.
- Examination of data on cognitive function, psychiatric disorders, and quality of life in MMD patients.
Main Results:
- MMD presents with progressive cerebrovascular stenosis and compensatory collateral formation.
- Significant associations exist between MMD and neuropsychiatric issues, including cognitive deficits and mood disorders.
- Patient quality of life is frequently impacted by these neurological and psychiatric complications.
Conclusions:
- MMD poses complex challenges, extending beyond cerebrovascular symptoms to affect mental health and cognitive function.
- Further research is needed to understand and manage the neuropsychiatric sequelae of MMD.
- Integrated approaches are crucial for addressing the multifaceted impact of MMD on patients' well-being.
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