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Journal of Education, Health and Sport

Moya Moya's disease in a 20-year-old female patient – case report
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Moya Moya's disease in a 20-year-old female patient – case report

Authors

  • Magdalena Hołowczuk Medical University of Lublin
  • Anna Katarzyna Orzeł Medical University of Lublin
  • Dominika Janeczko Medical University of Lublin
  • Barbara Zofia Klatka Medical University of Lublin
  • Michał Terpiłowski Medical University of Lublin
  • Michał Tchórz Medical University of Lublin

Keywords

Moya Moya disease, neurosurgery, hemorrhages

Abstract

Introduction Moya-Moya disease is a rare disease of unknown etiology that causes pathological occlusion changes in the large intracranial arteries - the internal carotid artery and the proximal parts of the anterior and middle cerebral arteries. The disease occurs most often among young Asian women, and its most intensive development falls on the first decade of life. In most cases, Moya-Moya occurs in the form of transient ischemic attacks, strokes or cerebral hemorrhages. Case report A 20-year-old woman was admitted to the Neurosurgery Clinic for the surgical treatment of Moya-Moya disease. Patient with paroxysmal paresis of left and right limbs several times since 2016. In CT, MRI and angio-MRI, as well as DSA, critical narrowing of the internal carotid arteries, obstruction of the anterior and central lights of the cerebral arteries, with small vessels around the central arteries and their branches marked - bilaterally, but mainly on the right. The changes create an image resembling "clouds of smoke" that is characteristic of Moya-Moya's disease. The patient was qualified for surgical treatment - revascularization of the cerebral cortex with the use of periosteal strips by multi-hole trepanation in the right fronto-temporo-parietal region. Periosteal stripes were introduced into the subarachnoid space to reproduce vessels of the cerebral cortex. Conclusion Because of the rarity of Moya Moya disease, it is very important to be alert vigilantly to avoid complications such as tetraparesis or mental retardation. Japanese surgery allows revascularization of the cerebral cortex without the need for an arterial bypass. The presented surgical method ensures good treatment effects and is preferred in young people due to the safety of the technique used. Keywords: Moya Moya disease, neurosurgery, hemorrhages

Author Biographies

Magdalena Hołowczuk, Medical University of Lublin

Department of Neurosurgery, Medical University of Lublin

Anna Katarzyna Orzeł, Medical University of Lublin

Department of Neurosurgery, Medical University of Lublin

Dominika Janeczko, Medical University of Lublin

Department of Neurosurgery, Medical University of Lublin

Barbara Zofia Klatka, Medical University of Lublin

Department of Neurosurgery, Medical University of Lublin

Michał Terpiłowski, Medical University of Lublin

Department of Neurosurgery, Medical University of Lublin

Michał Tchórz, Medical University of Lublin

Department of Neurosurgery, Medical University of Lublin

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Published

2019-09-19

How to Cite

1.
HOŁOWCZUK, Magdalena, ORZEŁ, Anna Katarzyna, JANECZKO, Dominika, KLATKA, Barbara Zofia, TERPIŁOWSKI, Michał & TCHÓRZ, Michał. Moya Moya’s disease in a 20-year-old female patient – case report. Journal of Education, Health and Sport [online]. 19 September 2019, T. 9, nr 9, s. 640–647. [accessed 24.3.2023].
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Issue

Vol. 9 No. 9 (2019)

Section

Articles

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