Moyamoya disease (MMD): treatment

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Moyamoya disease (MMD): treatment. This connects the superficial temporal to the middle cerebral artery (MCA). Fully referenced neurology checklist.

External carotid-internal carotid (EC-IC) bypass

  • This connects the superficial temporal to the middle cerebral artery (MCA)
  • It is safe and effective in reversing cerebrovascular reactivity defects
  • It may prevent recurrence

Balloon angioplasty: complications

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Other treatments

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Complementary treatments

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References

  1. Han JS, Abou-Hamden A, Mandell DM, et al. Impact of extracranial-intracranial bypass on cerebrovascular reactivity and clinical outcome in patients with symptomatic moyamoya vasculopathy. Stroke 2011; 42:3047-3054.
  2. Natarajan SK, Karmon Y, Tawk RG, et al. Endovascular treatment of patients with intracranial stenosis with moyamoya-type collaterals. J NeuroIntervent Surg 2011; 3:369-374.
  3. Pandey P, Steinberg GK. Neurosurgical advances in the treatment of moyamoya disease. Stroke 2011; 42:3304-3310.
  4. Bersano A, Khan N, Fuentes B, et al. European Stroke Organisation (ESO) guidelines on moyamoya angiopathy endorsed by Vascular European Reference Network (VASCERN). Eur Stroke J 2023; 8:55-84.

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