Patient's question:
A while ago, I wasn't feeling well and went to the hospital for a thorough check-up. I was diagnosed with moyamoya disease with brain edema. The doctor said that treatment is necessary. How should brain edema type moyamoya disease be treated?Doctor's answer:
The treatment of moyamoya disease involves rigorous and meticulous observation, medical treatment, and surgical treatment. Currently, medications such as antiplatelet agents have no significant efficacy and may even lead to intracranial hemorrhage, especially in adult patients with hypertension. Active treatment primarily involves intracranial and extracranial vascular bypass surgery, with different hospitals employing specific methods.Moyamoya disease is a cerebrovascular disease characterized by abnormal pial vascular networks at the base of the brain, sometimes chronic progressive stenosis of the internal carotid artery siphon, or inconvenient origin of the posterior cerebral artery. It is called "moyamoya disease" because the small blood vessels appear densely stacked like smoke when observed in cerebral angiography. Its treatment methods include expanding hormone treatment, using vasodilators for ischemic patients, and employing antihypertensive drugs to alleviate symptoms of cerebral hemorrhage.