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Management of Moyamoya Syndrome
John N. Whitaker, MD
Birmingham, Ala
Arch Neurol. 2001;58:132.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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MOYAMOYA syndrome is an intriguing cerebrovascular condition that affects
children and is characterized by diffuse narrowing of large-caliber arteries
to the brain and extensive collateralization resulting in a variety of ischemic
symptoms derived from hypoperfusion. The disease is typically progressive
and may have hemorrhagic complications. The incidence of moyamoya varies widely,
but it is much more common in Asians than in whites. Its etiology is diverse,
and its features are heterogeneous. Although relatively uncommon, because
of the unusual cerebrovascular anatomy of those affected, an understanding
of the pathobiology of moyamoya syndrome and its appropriate management may
furnish insight into other more common occlusive cerebrovascular diseases.
Management of moyamoya syndrome is indeed difficult and is approached with
the goal of maintaining or restoring adequate perfusion.
In this exchange, the 2 positions taken by Drs Scott and Roach attest
to the uncertainties of the management of moyamoya syndrome. . . . [Full Text of this Article]
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Surgery for Moyamoya Syndrome?: Yes
R. Michael Scott
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Immediate Surgery for Moyamoya Syndrome?: Not Necessarily
E. S. Roach
Arch Neurol. 2001;58(1):130-132.
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