Huasheng**, January 30 (Quan** reporter Li Chuanxin, correspondent Wang Juan) 18-year-old woman Xiao Xiao has had intermittent dizziness since she was 9 years old, and the dizziness slowly worsened, but it can be relieved after rest. Xiao Xiao's parents always thought it was caused by academic pressure and did not pay attention to it, until Xiao Xiao's symptoms recently worsened and could not bear it, so they took their daughter to Hunan Provincial Brain Hospital (Hunan Provincial Second People's Hospital) for treatment, and was finally diagnosed with "moyamoya disease".
"Moyamoya disease" is a group of cerebrovascular diseases characterized by narrowing or occlusion of the internal carotid artery and the anterior cerebral artery and the initial segment of the middle cerebral artery (anterior circulation), and the emergence of a compensated network of small blood vessels at the base of the brain. It is named because it appears on cerebral angiography as a dense pile of small blood vessels, similar to smoke from smoking. According to Dr. Zhou Dan of the first ward of the neurosurgery ward of the hospital, this disease is more common in children and adolescents, and can also be seen in adults, with the peak incidence of 5 and 40 years old, 9%-12% have a family history, and the most common clinical manifestations of patients are cerebral ischemia and cerebral hemorrhage. Other manifestations include headaches, epilepsy, and cognitive dysfunction (many children have limb weakness when crying or playing, and "moyamoya disease" should also be suspected).
The disease is easily missed or misdiagnosed clinically, and most patients have experienced a considerable period of time from the onset of clinical symptoms to diagnosis, which takes an average of two and a half years. Most patients are diagnosed with simple symptoms, and a few patients have been misdiagnosed with encephalitis, mitochondrial myoencephalopathy, gray matter heterotopia, etc. Zhou Dan reminded that early detection, early diagnosis and early diagnosis of "moyamoya disease" are the key, and through early surgery, more than 80% of patients can return to normal life.
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