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Headache in Moyamoya Disease

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Moyamoya Disease Update

Abstract

Moyamoya disease is a chronic, occlusive cerebrovascular disease with unknown etiology characterized by bilateral steno-occlusive changes at the terminal portion of the internal carotid artery and an abnormal vascular network at the base of the brain [1]. Clinical presentation of moyamoya disease includes transient ischemic attack (TIA), cerebral infarction, intracerebral hemorrhage, and seizure [2]. TIA is one of the most common clinical presentations of moyamoya disease both in pediatric and adult cases [2], while intracerebral hemorrhage is mostly seen among adult cases [3]. Recently, headache is also considered to be one of the common clinical presentations of moyamoya disease. Patients with moyamoya disease may complain of headache before and after revascularization surgery. In this chapter, the authors focus on headache as the clinical presentation of moyamoya disease, and discuss the incidence and mechanism of this symptom. We further discuss the efficacy of revascularization surgery for the improvement of headache.

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References

  1. Suzuki J, Takaku A (1969) Cerebrovascular ‘moyamoya’ disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol 20:288–299

    CAS  Google Scholar 

  2. Oki K, Suzuki N (2007) In: Hashimoto N (ed) Report by the Research Committee on Spontaneous Occlusion of the Circle of Willis (Moyamoya Disease) pp. 4–5

    Google Scholar 

  3. Yoshida Y, Yoshimoto T, Shirane R et al. (1999) Clinical course, surgical management, and long-term outcome of moyamoya patients with rebleeding after an episode of intracerebral hemorrhage: an extensive follow-up study. Stroke 30:2272–2276

    Article  PubMed  CAS  Google Scholar 

  4. Kuroda S, Hashimoto N, Yoshimoto T et al. (2007) Radiological findings, clinical course, and outcome in asymptomatic moyamoya disease. Results of multi-center survey in Japan. Stroke 38:1430–1435

    Article  PubMed  Google Scholar 

  5. Matsushima Y, Aoyagi M, Niimi Y et al. (1990) Symptoms and their pattern of progression in childhood moyamoya disease. Brain Dev 12:784–789

    Article  PubMed  CAS  Google Scholar 

  6. Scott RM, Smith JL, Robertson RL et al. (2004) Long-term outcome in children with moyamoya syndrome after cranial revascularization by pial synangiosis. J Neurosurg 100(2 Suppl Pediatrics):142–149

    PubMed  Google Scholar 

  7. Seol HJ, Wang KC, Kim SK et al. (2005) Headache in pediatric moyamoya disease: review of 204 consecutive cases. J Neurosurg 103(5 Suppl Pediatrics):439–442

    PubMed  Google Scholar 

  8. Hayashi T, Shirane R, Tominaga T (2009) Additional surgery for postoperative ischemic symptoms in patients with moyamoya disease. The effectiveness of occipital artery-posterior cerebral artery bypass with an indirect procedure: technical case report. Neurosurgery 64:E95–96

    Article  Google Scholar 

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Correspondence to Miki Fujimura .

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Shirane, R., Fujimura, M. (2010). Headache in Moyamoya Disease. In: Cho, BK., Tominaga, T. (eds) Moyamoya Disease Update. Springer, Tokyo. https://doi.org/10.1007/978-4-431-99703-0_17

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  • DOI: https://doi.org/10.1007/978-4-431-99703-0_17

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-99702-3

  • Online ISBN: 978-4-431-99703-0

  • eBook Packages: MedicineMedicine (R0)

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