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Neurology (Expert Forum)
Moyamoya
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.
Moyamoya
by Micheal-Guest, Sep 06, 1997 12:00AM
Re: Moyamoya
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Posted by CCF MD on December 06, 1997 at 10:25:03:
In Reply to: Moyamoya posted by Robert Dodson on December 02, 1997 at 01:37:06:
My wife was diagnosed with moyamoya in 1983. She has severe migraine headaches and is currently taking Fiornal with codeine for them. Is there another medication available which would help to control the headaches? Also, what is a general prognosis for a female currently aged 48. Any help will be appreciated.
thanks, Robert Dodson
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Moyamoya disease is an idiopathic, noninflammatory vasculopathy confined to
the intracranial arteries and primarily involving the major branches of the
internal carotid artery. The hallmark of the disease is a mesh of fine vessels
at the base of the brain, which appears like a "puff of smoke". and serves as collaterals
as the major intracranial vessels occlude. It is most commonly detected in Japan. It is most
frequent in children, adolescents, and young adults, and causes ischemic stroke,
TIA or intracranial bleeding. Arteriography (Dye injected into the brain) is
required for diagnosis. The prognosis of patients with moyamoya is guarded,
progressive neurologic worsening and recurrent events are the rule. Patients are
often prescribed anti platlet aggregating drugs or warfarin but their is
little proof that these drug work. Surgical procedures including bypass operations
and transposition of muscle or omentum to the surface of the brain have been
recommended. Migraine treatment for this disorder is controversial but in general
narcotics should be avoided. Tricyclics and seratonin reuptake inhibitors can be considered.
If she has not tried calcium channel blockers then that can also be discussed
with her doctor. In general we would recommend that she be followed by a stroke
neuologist who has had experience with this disorder. Our stroke neurologists at the Cleveland
Clinic have experience with this disorder and if a consultation was wanted
you could call 216 444 5559 to schedule. Good luck. This information is given
for general medical information purposes only. Please consult your doctor to discuss
diagnostic or treatment interventions.
