Moyamoya disease

At our clinic, we specialize in providing comprehensive diagnosis and treatment for Moyamoya disease, a rare yet complex cerebrovascular condition. With a team of experienced neurosurgeons and neurologists, we offer cutting-edge interventions to restore blood flow and reduce the risk of strokes or other complications.

Surgical Treatment Options

Neurosurgeons typically employ two main approaches to treat Moyamoya disease: direct and indirect revascularization.

Direct Revascularization

This method involves surgically connecting a branch of a scalp artery to a brain artery, immediately improving blood flow. The most common procedure is superficial temporal artery-to-middle cerebral artery (STA-MCA) bypass, which provides direct blood supply to the affected brain regions.

Indirect Revascularization

Indirect techniques encourage the formation of new blood vessels over time. Common procedures include:

• Encephalo-duro-arterio-synangiosis (EDAS) – A branch of the temporal artery is placed on the brain’s surface, stimulating new blood vessel growth.
• Encephalo-myo-synangiosis (EMS) – The temporalis muscle is repositioned onto the brain to promote vascular development.
• Omental-Cerebral Transposition – The omentum (a blood-rich tissue from the abdomen) is placed on the brain to enhance blood flow.

Postoperative Care

Patients typically require hospitalization for about three days following surgery. Some may experience minor scalp pain or headaches, but restrictions after surgery are minimal.

Early Intervention

Early surgical treatment is crucial to slowing disease progression and preventing strokes. Neurosurgeons assess each patient individually to determine the most suitable approach