Recent advance in Moyamoya angiopathy and its related headache
10.3760/cma.j.cn115354-20231214-00291
- VernacularTitle:烟雾病及其所引发头痛的研究进展
- Author:
Chengzhen SHANG
1
;
Fang YANG
;
Wenting HU
;
Lin WU
Author Information
1. 日照市人民医院神经内科二病区，日照 276800
- Keywords:
Moyamoya angiopathy;
Headache;
Pathophysiology;
Revascularization;
Medical treatment
- From:
Chinese Journal of Neuromedicine
2024;23(3):318-324
- CountryChina
- Language:Chinese
-
Abstract:
Moyamoya angiopathy is a chronic progressive occlusive intracranial vasculopathy, and CT angiography, MRI, digital subtraction angiography are the auxiliary examinations. Headache is a common symptom in Moyamoya angiopathy (MMA ) patients, and the phenotypes of headache attributed to MMA mainly include migraine-like headache and tension type-like headache; mechanism involves in dilatation of intracranial and extracranial arteries and leptomeningeal collaterals, cerebral hypoperfusion, vascular endothelial damage, genetic susceptibility, and mental stress. Strategies such as surgical revascularization and medical treatment are given. This article focuses on clinical manifestations, pathogenesis, diagnoses, treatments and prognoses of headache attributed to MMA, in order to deepen the understanding of clinical workers on this symptom.
