Missing relationship of moyamoya and persistent primitive artery in Europeans. Another distinctive feature or artifact?

Surgical and Radiologic Anatomy : SRA
Holger WenzJohann Scharf

Abstract

Previous studies found higher incidence of persistent primitive arteries in Asian moyamoya (MM) patients than in the general population, which was thought to be a characteristic trait of the MM entity in general. We analyzed incidence of persistent primitive arteries and demographics of patients with European MM treated in one single center. First, we compared our large dataset to existing literature and second, we raised the question whether European MM demonstrates similar high prevalence of persistent primitive arteries as it was previously presented within Asian MM. All European MM on whom revascularization surgery was performed from 1999 to 2013 were included. Demographics and associated diseases were obtained by retrospective chart review. Two independent readers evaluated 122 MM angiograms to determine the occurrence of persistent primitive arteries as well as the Suzuki score. We identified 112 cases with MM disease, 10 with MM syndrome. Mean age at time of diagnosis was 38.2 (range 6-64 years); a peak incidence in early childhood was not observed. Ninety (73.8%) were women, associated systemic diseases were found in four patients. Seven cases (5.7%) presented with unilaterally affected vessels. The majority of patients...Continue Reading

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Citations

Dec 14, 2016·Chinese Medical Journal·Zhi-Yong ZhangZun-Jing Liu
Jan 8, 2017·Stroke; a Journal of Cerebral Circulation·Holger WenzAlex Förster
Oct 3, 2019·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Da-Ping LyuZhi-Hua Zhou

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