Asymptomatic Moyamoya Disease: Literature Review and Ongoing AMORE Study

Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya disease who have experienced no cerebrovascular events. However, their clinical features, prognosis, and treatment strategy are still unclear because of s...

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Published inNeurologia medico-chirurgica Vol. 55; no. 3; pp. 194 - 198
Main Authors Group, AMORE Study, KURODA, Satoshi
Format Journal Article
LanguageEnglish
Published Japan The Japan Neurosurgical Society 2015
THE JAPAN NEUROSURGICAL SOCIETY
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ISSN0470-8105
1349-8029
1349-8029
DOI10.2176/nmc.ra.2014-0305

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Abstract Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya disease who have experienced no cerebrovascular events. However, their clinical features, prognosis, and treatment strategy are still unclear because of small number of subjects and short follow-up periods. Therefore, we have designed Asymptomatic Moyamoya Registry (AMORE) study in Japan. The objectives of this nation-wide, multi-center prospective study are to clarify long-term prognosis of asymptomatic patients with moyamoya disease and to determine the risk factors that cause ischemic and hemorrhagic stroke in them. In this article, we review the published data on asymptomatic moyamoya disease and report the on-going multi-center prospective cohort study, AMORE study. We would like to emphasize the importance to determine the clinical features, prognosis, and treatment strategies of asymptomatic moyamoya disease in very near future.
AbstractList [Abstract] Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya disease who have experienced no cerebrovascular events. However, their clinical features, prognosis, and treatment strategy are still unclear because of small number of subjects and short follow-up periods. Therefore, we have designed Asymptomatic Moyamoya Registry [AMORE] study in Japan. The objectives of this nation-wide, multi-center prospective study are to clarify long-term prognosis of asymptomatic patients with moyamoya disease and to determine the risk factors that cause ischemic and hemorrhagic stroke in them. In this article, we review the published data on asymptomatic moyamoya disease and report the on-going multi-center prospective cohort study, AMORE study. We would like to emphasize the importance to determine the clinical features, prognosis, and treatment strategies of asymptomatic moyamoya disease in very near future.
Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya disease who have experienced no cerebrovascular events. However, their clinical features, prognosis, and treatment strategy are still unclear because of small number of subjects and short follow-up periods. Therefore, we have designed Asymptomatic Moyamoya Registry (AMORE) study in Japan. The objectives of this nation-wide, multi-center prospective study are to clarify long-term prognosis of asymptomatic patients with moyamoya disease and to determine the risk factors that cause ischemic and hemorrhagic stroke in them. In this article, we review the published data on asymptomatic moyamoya disease and report the on-going multi-center prospective cohort study, AMORE study. We would like to emphasize the importance to determine the clinical features, prognosis, and treatment strategies of asymptomatic moyamoya disease in very near future.
Author KURODA, Satoshi
Group, AMORE Study
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/25739434$$D View this record in MEDLINE/PubMed
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2015 The Japan Neurosurgical Society 2015
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References_xml – reference: 12) Kuroda S, Hashimoto N, Yoshimoto T, Iwasaki Y; Research Committee on Moyamoya Disease in Japan: Radiological findings, clinical course, and outcome in asymptomatic moyamoya disease: results of multicenter survey in Japan. Stroke 38: 1430–1435, 2007
– reference: 9) Miyamoto S, Yoshimoto T, Hashimoto N, Okada Y, Tsuji I, Tominaga T, Nakagawara J, Takahashi JC; JAM Trial Investigators: Effects of extracranial-intracranial bypass for patients with hemorrhagic moyamoya disease: results of the Japan Adult Moyamoya Trial. Stroke 45: 1415–1421, 2014
– reference: 22) Kuroda S, Ishikawa T, Houkin K, Nanba R, Hokari M, Iwasaki Y: Incidence and clinical features of disease progression in adult moyamoya disease. Stroke 36: 2148–2153, 2005
– reference: 3) Liu W, Morito D, Takashima S, Mineharu Y, Kobayashi H, Hitomi T, Hashikata H, Matsuura N, Yamazaki S, Toyoda A, Kikuta K, Takagi Y, Harada KH, Fujiyama A, Herzig R, Krischek B, Zou L, Kim JE, Kitakaze M, Miyamoto S, Nagata K, Hashimoto N, Koizumi A: Identification of RNF213 as a susceptibility gene for moyamoya disease and its possible role in vascular development. PLoS ONE 6: e22542, 2011
– reference: 19) Kikuta K, Takagi Y, Nozaki K, Okada T, Hashimoto N: Histological analysis of microbleed after surgical resection in a patient with moyamoya disease. Neurol Med Chir (Tokyo) 47: 564–567, 2007
– reference: 13) Yamada M, Fujii K, Fukui M: [Clinical features and outcomes in patients with asymptomatic moyamoya disease—from the results of nation-wide questionnaire survey]. No Shinkei Geka 33: 337–342, 2005 (Japanese)
– reference: 4) Karasawa J, Touho H, Ohnishi H, Miyamoto S, Kikuchi H: Long-term follow-up study after extracranial-intracranial bypass surgery for anterior circulation ischemia in childhood moyamoya disease. J Neurosurg 77: 84–89, 1992
– reference: 7) Kuroda S, Houkin K, Kamiyama H, Abe H, Mitsumori K: Regional cerebral hemodynamics in childhood moyamoya disease. Childs Nerv Syst 11: 584–590, 1995
– reference: 10) Guzman R, Lee M, Achrol A, Bell-Stephens T, Kelly M, Do HM, Marks MP, Steinberg GK: Clinical outcome after 450 revascularization procedures for moyamoya disease. Clinical article. J Neurosurg 111: 927–935, 2009
– reference: 18) Kikuta K, Takagi Y, Nozaki K, Hanakawa T, Okada T, Mikuni N, Miki Y, Fushmi Y, Yamamoto A, Yamada K, Fukuyama H, Hashimoto N: Asymptomatic microbleeds in moyamoya disease: T2*-weighted gradient-echo magnetic resonance imaging study. J Neurosurg 102: 470–475, 2005
– reference: 21) Kuroda S, Kashiwazaki D, Ishikawa T, Nakayama N, Houkin K: Incidence, locations, and longitudinal course of silent microbleeds in moyamoya disease: a prospective T2*-weighted MRI study. Stroke 44: 516–518, 2013
– reference: 20) Kikuta K, Takagi Y, Nozaki K, Sawamoto N, Fukuyama H, Hashimoto N: The presence of multiple microbleeds as a predictor of subsequent cerebral hemorrhage in patients with moyamoya disease. Neurosurgery 62: 104–111, discussion 111–112, 2008
– reference: 5) Kawaguchi S, Okuno S, Sakaki T: Effect of direct arterial bypass on the prevention of future stroke in patients with the hemorrhagic variety of moyamoya disease. J Neurosurg 93: 397–401, 2000
– reference: 6) Kuroda S, Houkin K, Ishikawa T, Nakayama N, Iwasaki Y: Novel bypass surgery for moyamoya disease using pericranial flap: its impacts on cerebral hemodynamics and long-term outcome. Neurosurgery 66: 1093–1101; discussion 1101, 2010
– reference: 8) Miyamoto S, Akiyama Y, Nagata I, Karasawa J, Nozaki K, Hashimoto N, Kikuchi H: Long-term outcome after STA-MCA anastomosis for moyamoya disease. Neurosurg Focus 5: e5, 1998
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Snippet Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya disease who...
[Abstract] Recent development of a non-invasive magnetic resonance examination has increased the opportunity to identify asymptomatic patients with moyamoya...
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SubjectTerms AMORE study
Asymptomatic Diseases
asymptomatic moyamoya disease
Humans
Moyamoya Disease - diagnosis
Moyamoya Disease - epidemiology
Moyamoya Disease - therapy
prognosis
Review
Title Asymptomatic Moyamoya Disease: Literature Review and Ongoing AMORE Study
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