Patient's question:
I am a female neurosurgeon. Our department received a patient with moyamoya disease today, which took us by surprise because we had never encountered this condition before. The director mentioned that we could adopt a conservative treatment approach for moyamoya disease. I would like to ask all the professors, how can we address the treatment of moyamoya disease?Doctor's answer:
Medical: Ischemic moyamoya disease should be treated with vasodilators. If there is intracerebral hemorrhage, dehydration drugs can be used to reduce intracranial pressure, and then topical medications can be used for treatment, which is not ideal for medical efficacy.Surgical treatment: Widely used. Methods are divided into: Second, direct anastomosis, bringing the blood supply of the external carotid artery system into the intracranial cavity; Third, indirect anastomosis, such as temporal muscle use and vascular use, etc., indirectly anastomosing extracranial vessels into the intracranial cavity. Second, comprehensive evaluation of treatment, integrating direct anastomosis and indirect anastomosis, with good therapeutic effects, and it is currently the mainstream method.