Moyamoya Disease : A Case Report and Review of the Literature

  • Lim, Hyung-Guhn (Department of Radiology, Chosun University Hospital) ;
  • Choi, Chang-Min (Department of Oriental Obstetrics and Gynecology, Collage of Oriental Medicine, Wonkwang University) ;
  • Lee, Jong-Deok (Department of Radiology, Gwanju Wonkwang Hospital, Wonkwang University)
  • Published : 2007.04.25

Abstract

Moyamoya disease is characterized by the angiographic findings of bilateral occlusion of the distal portion of the internal carotid arteries with a vascular network at the base of the brain. The typical findings on conventional angiography and magnetic resonance imaging usually confirm the correct diagnosis of moyamoya disease. We experienced a 11-year-old girl with moyamoya disease showing repeated transient ischemic attacks and we report on this case with a review of the literature.

Keywords

References

  1. Suzuki, J., Takaku, A. Cerebrovascular 'moyamoya' disease: disease showing abnormal net-like vessels in base of brain. Arch Neurol 20: 288-99, 1969 https://doi.org/10.1001/archneur.1969.00480090076012
  2. Takeuchi, K., Shimizu, K. Hypoplasia of the bilateral internal carotid arteries [in Japanese]. No To Shinkei 9: 37-43, 1957
  3. Fukui, M., Kono, S., Sueishi, K., Ikezaki, K. Moyamoya disease. Neuropathology 20: S61-S64, 2000 https://doi.org/10.1046/j.1440-1789.2000.00300.x
  4. Wakai, K., Tamakoshi, A., Ikezaki, K., Fukui, M., Kawamura, T., Aoki, R., Kojima, M., Lin, Y., Ohno, Y. Epidemiological features of moyamoya disease in Japan: findings from a nationwide survey. Clin Neurol Neurosurg 99(Suppl 2): S1-S5, 1997 https://doi.org/10.1016/S0303-8467(96)00555-0
  5. Ikezaki, K., Han, D.H., Kawano, T., Kinukawa, N., Fukui, M. A clinical comparison of definite moyamoya disease between South Korea and Japan. Stroke 28: 2513-2517, 1997 https://doi.org/10.1161/01.STR.28.12.2513
  6. Suzuki, J. Kodama N Moyamoya disease: A review. Stroke 14: 104-109, 1983 https://doi.org/10.1161/01.STR.14.1.104
  7. Ueki, K., Meyer, F.B., Mellinger, J.F. Moyamoya disease: The disorder and surgical treatment. Mayo Clin Proc 69: 749-757, 1994
  8. Matsushima, Y., Aoyagi, M., Niimi, Y. et al. Symptoms and their pattern of progression in childhood moyamoya disease. Brain Dev 12: 784-789, 1990 https://doi.org/10.1016/S0387-7604(12)80007-6
  9. Maki, Y., Enomoto, T. Moyamoya disease. Childs Nerv Syst 4: 204-212, 1988 https://doi.org/10.1007/BF00270916
  10. Kudo, T., Fukuta, S. Spontaneous occlusion of the circle of Willis. Shinkei-Shimpo 20: 750-757, 1976
  11. Han, D.H., Kwon, O.K., Byun, B.J. A cooperative study: clinical characteristics of 334 Korean patients with moyamoya disease treated at neurosurgical institutes (1976-1994). The Korean Society for Cerebrovascular Disease. Acta Neurochir 142: 1263-1273, 2000 https://doi.org/10.1007/s007010070024
  12. Yilmaz, E.Y., Pritz, M.B., Bruno, A., Lopez-Yunez, A., Biller, J. Moyamoya: Indiana University Medical Center experience. Arch Neurol 58: 1274-1278, 2001 https://doi.org/10.1001/archneur.58.8.1274
  13. Deok-Soo Kim, Tae-Sung Ko, Young-Shin Ra, Choong-Gon Choi. Postoperative Electroencephalogram for Follow up of Pediatric Moyamoya Disease J Korean Med Sci 21: 495-499, 2006 https://doi.org/10.3346/jkms.2006.21.3.495
  14. Takahashi, A., Sawamura, Y., Houkin, K., Kamiyama, H., Abe, H. The cerebrospinal fluid in patients with moyamoya disease (spontaneous occlusion of the circle of Willis) contains high level of basic fibroblast growth factor. Neurosci Lett 160: 214-216, 1993 https://doi.org/10.1016/0304-3940(93)90416-I
  15. Yamauchi, T., Tada, M., Houkin, K., Tanaka, T., Nakamura, Y., Kuroda, S., Abe, H., Inoue, T., Ikezaki, K., Matsushima, T., Fukui, M. Linkage of familial moyamoya disease (spontaneous occlusion of the circle of Willis) to chromosome 17q25. Stroke 31: 930-935, 2000 https://doi.org/10.1161/01.STR.31.4.930
  16. Masuda, J., Ogata, J., Yutani, C. Smooth muscle cell proliferation and localization of macrophages and T cells in the occlusive intracranial major arteries in moyamoya disease. Stroke 24: 1960-1967, 1993 https://doi.org/10.1161/01.STR.24.12.1960
  17. Yamashita, M., Oka, K., Tanaka, K. Histopathology of the brain vascular network in moyamoya disease. Stroke 14: 50-58, 1983 https://doi.org/10.1161/01.STR.14.1.50
  18. Houkin, K., Aoki, T., Takahashi, A., Abe, H. Diagnosis of moyamoya disease with magnetic resonance angiography. Stroke 25: 2159-2164, 1994 https://doi.org/10.1161/01.STR.25.11.2159
  19. Fukui, M. Current state of study on moyamoya disease in Japan. Surg Neurol 47: 138-143, 1997 https://doi.org/10.1016/S0090-3019(96)00358-8
  20. Yamada, I., Suzuki, S., Matsushima, Y. Moyamoya disease: comparison of assessment with MR angiography and MR imaging versus conventional angiography. Radiology 196: 211-218, 1995 https://doi.org/10.1148/radiology.196.1.7784569
  21. Yamada, I., Nakagawa, T., Matsushima, Y., Shibuya, H. High-resolution turbo magnetic resonance angiography for diagnosis of moyamoya disease. Stroke 32: 1825-1831, 2001 https://doi.org/10.1161/01.STR.32.8.1825
  22. Smith, E.R., Scott, R.M. Surgical management of Moyamoya syndrome. Skull Base 15(1): 15-26, 2005 https://doi.org/10.1055/s-2005-868160
  23. Nakashima, H., Meguro, T., Kawada, S., Hirotsune, N., Ohmoto, T. Longterm results of surgically treated Moyamoya disease. Clin Neurol Neurosurg 99(Suppl 2): 156-161, 1997
  24. Fukui, M. Guidelines for the diagnosis and treatment of spontaneous occlusion of the circle of Willis ('Moyamoya' disease). Clin Neurol Neurosurg 99(Suppl 2): 238-240, 1997
  25. Debrun, G., Sauvegrain, J., Aicardi, J., Goutieres, F. Moyamoya, a non specific radiological syndrome. Neuroradiol 8: 241-244, 1975 https://doi.org/10.1007/BF00337659
  26. Karasawa, J., Kikuchi, H., Furuse, S., Kawamura, J., Sakaki, T. Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49: 679-688, 1978 https://doi.org/10.3171/jns.1978.49.5.0679
  27. Matsushima, Y., Inaba, Y. Moyamoya disease in children and its surgical treatment. Introduction of a new surgical procedure and its follow-up angiograms. Childs Brain 11: 155-170, 1984
  28. Takeuchi, S., Tsuchida, T., Kobayashi, K., Fukuda, M., Ishii, R., Tanaka, R. et al. Treatment of moyamoya disease by temporal muscle graft encephalo-myo-syn angiosis. Childs Brain 10: 1-15, 1983
  29. Touho, H., Karasawa, J., Tenjin, H., Ueda, S. Omental transplantation using a superficial temporal artery previously used for encephaloduroarteriosynangiosis. Surg Neurol 45: 550-558, 1996 https://doi.org/10.1016/0090-3019(95)00459-9
  30. Hoshi, H., Ohnishi, T., Jinnouchi, S., Futami, S., Nagamachi, S., Kodama, T., Watanabe, K., Ueda, T., Wakisaka, S. Cerebral blood flow study in patients with moyamoya disease evaluated by IMP SPECT. J Nucl Med 35: 44-50, 1994
  31. Kuwabara, Y., Ichiya, Y., Otsuka, M., Tahara, T., Gunasekera, R., Hasuo, K., Masuda, K., Matsushima, T., Fukui, M. Cerebral hemodynamic change in the child and the adult with moyamoya disease. Stroke 21: 272-277, 1990 https://doi.org/10.1161/01.STR.21.2.272
  32. Touho, H., Karasawa, J., Ohnishi, H. Preoperative and postoperative evaluation of cerebral perfusion and vasodilatory capacity with 99mTc-HMPAO SPECT and acetazolamide in childhood Moyamoya disease. Stroke 27: 282-289, 1996 https://doi.org/10.1161/01.STR.27.2.282
  33. Matsushima, T., Fujiwara, S., Nagata, S., Fujii, K., Fukui, M., Kitamura, K., Hasuo, K. Surgical treatment for paediatric patients with moyamoya disease by indirect revascularization procedures (EDAS, EMS, EMAS). Acta Neurochir (Wien) 98: 135-140, 1989 https://doi.org/10.1007/BF01407339
  34. Olds, M.V., Griebel, R.W., Hoffman, H.I., Craven, M., Chuang, S., Schutz, H. The surgical treatment of childhood moyamoya disease. J Neurosurg 66: 675-680, 1987 https://doi.org/10.3171/jns.1987.66.5.0675
  35. Karasawa, J., Kikuchi, H., Furuse, S., Kawamura, I., Sakaki, T. Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49: 679-688, 1978 https://doi.org/10.3171/jns.1978.49.5.0679