How do you manage Moya-Moya disease medically for patients that are unable to receive EC-IC bypass?
If you use antiplatelet agents, are there certain doses that you prefer (such as Aspirin 81 mg versus 325 mg)?
2 Answers
Mednet MemberInvited Expert
Neurology · University of Virginia, School of Medicine
Answered on · Updated on
It depends on the cause. Usually for patients either moya moya disease (in contrast to moya moya syndrome where symptomatic patients would benefit from EDAS or surgical management ) due to atherosclerosis or radiation induced if someone has continued ischemic events or silent infarcts on aspirin mon...
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Mednet MemberInvited Expert
Neurology · Vanderbilt University Medical Center
Answered on
I would say that there is no clear evidence for the best medical therapy for Moya Moya; the treatment is mainly surgical, either direct EC/MC bypass or an EDAS procedure. If surgery is not an option, the usual medical treatment for secondary stroke prevention would be appropriate, including antiplat...
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