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Moyamoya is a progressive cerebrovascular disease in which there is stricture and/or occlusion of blood vessel . The stricture and/or occlusion of vessels ( usually lot of Willis and associated arteries ) direct to establishment of collateral vessels to compensate for decreased blood provision to the dowry of brain posterior to the occlusion and/or stricture . These collateral vessels in the angiogram present as hazy puff of smoke . As the disease was first described by Japanese team and “ puff of hummer ” in the local language imply moyamoya , the disease came to be have sex as moyamoya .
Are There Any Natural Remedies For Moyamoya?
There is only one typeface account in literature so far as to the successful discourse of moyamoya by Gui - Zhi - Fu - Ling - Wan and Xiao - Xu - Ming - Tang Chinese herbal medication . Improvement on stagnate blood line condition was observe in this case study . The decrease in blood viscousness led to increased current of blood in the unnatural part . There have been some reports about chelation therapy too for the direction of moyamoya ; however , want of any proven survey or instance in the related playing area makes the option questionable . So far , there are no natural cure for moyamoya .
Surgery forms the mainstay of the handling . Surgery aid in revascularization of the genius component part not receive enough blood or oxygen . Revascularization surgery helps forestall stroke in futurity and greatly improves timber of life in patients with moyamoya syndrome . postal service moyamoya operation patients are prescribed daily Empirin , which thins blood and facilitates blood current through the bribery .
Patients are also advised to stay hydrous as more water in the soundbox will increase the volume of rake , which again increase the blood flow . Patients can also try incorporate intelligent foods in their dieting . They can quit smoke and alcoholic beverage consumption should be stopped .
Although , moyamoya can be fatal if leave untreated as it is a reformist disease and disease advancement will conduce to recurrent virgule , which will further reduce the quality of life by impress cognitive single-valued function . Therefore , it is of import to seek medical advice and discussion for the disease .
The cause of moyamoya still remains undecipherable . It is consider a genetic upset in about 10 % of cases . It has also been associated with other disease , such asDown ’s syndrome , Grave ’s disease , neurofibromatosis type 1 , anemia , Marfan syndrome , atherosclerosis , hypertension , radiation therapy , and tuberculosis .
It is more often see in females than in Male , in the proportion of 1.8:1 . The disease onset has two peak ages . One is kid below the historic period of 10 year and can be detect in child as vernal as 6 months . The other is seen in adults in their 30 - 40s . Previously , the disease was thought to be establish only in Asians countries ( mostly in Japan ) , but according to latest statistics , it is dominant all around the human beings . The disease is more common in Japan and Asian countries than anywhere else in the existence .
Since the disease causes reduction in blood line supply to parts of psyche ; it make ischemia to the part receiving less blood . It also guide to abnormal collateral vessel formation to even off for occlusion / stenosis of vessels , which may snap as these vessels are too fragile . The ischaemia to part of brain may lead to stroke or transient ischaemic stroke and relate symptoms , more commonly seen in children . The severance of vessel leads to hemorrhage , commonly seen in adults . Most of the deaths in moyamoya are due to brain hemorrhage .
The presenting symptom include , headache , raptus , weakness of part of grimace or arms along with paresthesia , cognitive impairment , such as words and spoken language problems , visual changes and problem with counterbalance .
The diagnosis of moyamoya is critical to well-timed handling as most cases of moyamoya are misdiagnosed and delay in diagnosis leads to progression of disease . It can be diagnosed with angiography , including magnetic plangency angiography or computed imaging angiography . testing ground tests can also avail name any inherent cause , such as elevated thyroid levels could suggest thyrotoxicosis .
References :
https://www.ncbi.nlm.nih.gov/pubmed/1471616
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