OPENPediatrics
Moyamoya Disease by W. Northam, E. Smith, J. Laird-Gion, J. Perez | OPENPediatrics
Oct 9, 2023
Join Weston Northam, a Clinical Staff Associate at Boston Children's Hospital, as he dives into the intricacies of moyamoya disease. He discusses the disease's anatomy and pathophysiology, highlighting the importance of surgical intervention for brain blood supply. The conversation also covers anesthetic management, emphasizing techniques tailored for pediatric patients, and offers insights into postoperative care. Listeners will gain a comprehensive understanding of the surgical approaches and considerations unique to this condition.
18:47
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Quick takeaways
- Moyamoya disease is characterized by progressive internal carotid artery narrowing, requiring a thorough preoperative evaluation and imaging for accurate diagnosis.
- Surgical treatment involves both direct and indirect revascularization techniques, with careful postoperative monitoring essential to manage complications and recovery.
Deep dives
Understanding Moyamoya Disease
Moyamoya disease is a rare cerebrovascular condition that results from the progressive narrowing of the internal carotid arteries, leading to ischemia and an increased risk of stroke. This stenosis prompts the development of collateral vessels, which resemble a 'puff of smoke' on angiograms, hence the name Moyamoya. The disease typically presents with symptoms related to inadequate blood supply, including strokes, transient ischemic attacks, and cognitive impairments. Prevalence is notably higher in children around the age of five and adults in their mid-40s, with a marked incidence among individuals of Asian descent, particularly in Japan.
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