Clinical Feature and Imaging Characteristics of Moyamoya Disease in Adults

Objective:To analyze the clinical feature and imaging features in adult moyamoya patients.Method:Clinical and imaging data of 36 adult patients with moyamoya confirmed were analyzed respectively.Result:Ischemic stroke of the 36 patients accounted for 27.8%,with hemiplegia, numbness of limb and aphasia being commonly seen;Hemorrhagic stroke accounted for 72.2%,common manifestations included headache,disturbance of consciousness and hemiplegia.Stenosis or occlusion of the internal carotid artery or its branches and moyamoya vessels were found in all the patients. Conclusion:The manifestations of adult moyamoya patients are diverse,in which hemorrhagic stroke is the most commonly seen.The possibility of moyamoya disease should be on high alert when the following conditions are met:around ventricle or ventricle hemorrhage,brain hemorrhage;cerebral infarction,especially in lobe of brain,occurred in patients with no risk factors of the disease;those with repeated TIA or cerebral infarction;alternating TIA or cerebral infarction of two sides;multiple cerebral infarction or hemorrhage,hemorrhage accompanied by infarction revealed on CT or MRI.