What methods can be used to alleviate anesthesia for moyamoya disease?

Patient's question:

Recently, I don't know why I can't sleep, which greatly affects my work efficiency. My friend recommended that I go to the neurology department for a check-up. Could you please tell me what methods can alleviate the anesthesia for moyamoya disease?

Doctor's answer:

Moyamoya disease is a congenital developmental disorder, primarily characterized by vascular malformations at the base of the skull. Vessel stenosis and impaired circulation of the middle cerebral artery, as well as the anterior or internal carotid artery, can affect cerebral blood supply and lead to the expansion of collateral vessels at the base of the skull, making it prone to cerebral hemorrhage and ischemic stroke. Hating and treating it with medication is ineffective; this condition must be resolved through surgery, which can involve bypass surgery or vascular grafting. These procedures can stabilize cerebral blood supply and prevent the aforementioned complications.

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