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Correlatos neuropsicológicos de la enfermedad de moyamoya: un estudio de caso clínico
Shelby B Hughes1, Anastasia Matchanova2, Lisa Delano-Wood2,3
1San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.
The Clinical neuropsychologist
|February 11, 2026
Resumen
La enfermedad de Moyamoya (MMD) puede causar un deterioro cognitivo significativo, incluidos los déficits del lenguaje, incluso después de la revascularización quirúrgica. La detección temprana y la intervención son cruciales para optimizar los resultados en pacientes con DMO.
Área de la Ciencia:
- La neurociencia es la neurociencia.
- La Medicina Cerebrovascular es una de ellas.
- La neuropsicología es la neuropsicología.
Sus antecedentes:
- La enfermedad de Moyamoya (MMD) es un trastorno cerebrovascular raro y progresivo.
- Involucra estenosis de la arteria carótida interna y formación de vasos colaterales, lo que lleva a eventos isquémicos o hemorrágicos.
Objetivo del estudio:
- Para presentar un estudio de caso de una mujer filipina bilingüe con DMO.
- Para detallar sus hallazgos de neuroimagen, intervenciones quirúrgicas y resultados neuropsicológicos postoperatorios.
Principales métodos:
- La neuroimagen confirmó la enfermedad de Moyamoya (grado III de Suzuki).
- El paciente se sometió a una revascularización quirúrgica bilateral por etapas (bypass intracraneal y encefaloduroarteriosinangiosis).
- Se administró una batería neuropsicológica integral 18 meses después de la cirugía.
Principales resultados:
- El paciente experimentó un infarto agudo después de la cirugía.
- La evaluación neuropsicológica reveló deterioros cognitivos globales (memoria, función ejecutiva, velocidad de procesamiento, habilidades visuoespaciales).
- Se observaron graves déficits lingüísticos, incluido un cambio de idioma del inglés al tagalo.
Conclusiones:
- Este caso pone de relieve los patrones neuropsicológicos específicos en la DMM.
- Los hallazgos subrayan la importancia de la detección temprana y la intervención quirúrgica oportuna para la DMO.
- La optimización de los resultados cognitivos y funcionales en MMD requiere una gestión rápida.
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