Due to the fact that there are still many uncertainties concerning the pathogenesis of moyamoya disease, thus far no effective and reliable methods for prevention and treatment of this disease have become firmly established. As discussed in the chapter on symptomatology (Chap. 4), in juvenile cases the onset usually presents as symptoms of cerebral ischemia due to repeated transient ischemic attacks (TIAs). The disease gradually progresses and at a certain stage the symptoms of brain ischemia disappear. At the next stage, there are many adult cases which manifest symptoms of intracranial hemorrhage, particularly intraventricular hemorrhage [133, 284]. For treatment of such pathology, various methods for increasing blood flow to the brain via collateral pathways have been attempted and, to reduce the effects of the hemorrhage itself, various techniques for hematoma removal have been attempted.
KeywordsCerebral Blood Flow Internal Carotid Artery Moyamoya Disease Superior Cervical Ganglion Adult Case
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