Patient's question:
I have now contracted moyamoya disease, and I am very scared. I feel like I am at the lowest point in my life. I don't even know why I got this disease. What is moyamoya disease and how is it treated?Doctor's answer:
When cerebral perfusion reserve is within the aforementioned normal range, only conservative medical treatment can be performed. At this time, if vascular reconstruction surgery is forcibly carried out, it may promote abnormal growth of collateral circulation and elevated intracranial pressure due to high cerebral tissue perfusion, thereby increasing the probability of intracranial hemorrhage. However, when cerebral perfusion reserve has already declined, vascular reconstruction surgery should be performed as early as possible. Vascular reconstruction surgery is divided into direct reconstruction and indirect vascular reconstruction. Direct reconstruction is most commonly performed through anastomosis of the anterior temporal middle cerebral artery and the anterior temporal anterior cerebral artery. Postoperative blood supply to the perfused area can be immediately improved. Indirect vascular reconstruction primarily involves the temporalis muscle.