He does not have the three highs, but he had a cerebral hemorrhage at the age of 26. He suffered another hemorrhage 20 years later, which led to a coma. He currently has memory loss, and the local doctor diagnosed him with moyamoya disease. This is a patient I saw today. He had two bleeding episodes at a young age and he has no high-risk factors such as the three highs. This is a typical characteristic of moyamoya disease. He is a healthy person in his prime, but his intracranial blood vessels are a mess. He has repeated cerebral infarctions and cerebral hemorrhages without the three highs. Moreover, drugs are ineffective for the narrowed and occluded blood vessels. If he wants active treatment, he can only consider surgery. Moyamoya disease can cause patients to have repeated cerebral infarction or cerebral hemorrhage. Some family members and patients will ask, if I don't treat it, when will the next cerebral infarction or cerebral hemorrhage occur? The doctor doesn't know. If I can predict the time of the next stroke, it is a great skill that can save countless lives. I will not only be a chief physician, but a master. Just like this patient who had bleeding again after 20 years, there are also patients with poor luck, who are also the ones I saw today. He was hospitalized for more than 20 days due to cerebral hemorrhage and was discharged from the hospital five days later and was hospitalized again for bleeding. So when will the moyamoya disease cause you to develop an illness? We can only prepare in advance when we know its harm or results, and reduce the risk of patients having another cerebral infarction or cerebral hemorrhage through surgery. |
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