The mother saved money to treat her child's moyamoya disease and took medicine for five years. Why did the disease recur repeatedly?

In the outpatient clinic, a mother brought her girl to see a doctor. The patient is 8 years old. When she was 3 years old, she developed symptoms of right hemiplegia, which lasted no longer than 4 hours. She underwent an MRI at a local hospital and was diagnosed with moyamoya disease, which she has been taking medication for. This year, the patient developed involuntary movements of her right upper and lower limbs, which seriously affected her life and study. The local hospital recommended that the patient go to a higher-level hospital for further examination and treatment. When the patient's family came, they were full of doubts and kept asking why the medicine didn't work, and whether the body had developed drug resistance. Should the medicine be changed for treatment?

The patient's condition is not that the medication is ineffective or that the body has developed drug resistance. The fundamental problem is that conservative drug treatment is ineffective for patients with moyamoya disease. No matter what kind of medication the patient changes or how long he takes, the condition cannot be controlled.

Due to some special reasons, patients with moyamoya disease gradually have occlusion of the large arteries in the brain, and small compensatory blood vessels are formed around them. When the growth rate of the small compensatory blood vessels is slower than the occlusion rate of the large blood vessels, cerebral infarction is prone to occur. The small compensatory blood vessels are fragile and prone to rupture and bleed. Some patients with moyamoya disease also have cerebral aneurysms, which can easily cause cerebral hemorrhage when ruptured. Drug treatment can only relieve symptoms, but cannot prevent the occlusion of large blood vessels in the brain, nor can it prevent the occurrence of cerebral hemorrhage. Therefore, conservative drug treatment is ineffective for patients.

The current effective method for treating moyamoya disease is surgical treatment. There are three types of surgical methods: direct vascular reconstruction, indirect vascular reconstruction and combined vascular bypass surgery. Among them, the most commonly used surgical method is combined vascular bypass surgery. This surgical method not only alleviates the patient's cerebral blood supply insufficiency, but also builds a new blood supply channel for the patient, reduces the risk of stroke in the patient, and improves the patient's life.

Therefore, it is recommended that patients with moyamoya disease undergo surgery as soon as possible after being diagnosed with moyamoya disease to reduce the risk of the disease.

If you have any questions about cerebrovascular disease, moyamoya disease, carotid artery stenosis, etc., you can leave a private message for consultation. I will reply to you in my spare time.