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Year : 2015  |  Volume : 16  |  Issue : 2  |  Page : 23-29

Caring for a patient with moyamoya disease: A case report

Professor, College of Nursing, CMC, Vellore, India

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Moyamoya disease is a rare cerebrovascular disorder that is characterized by progressive stenosis of distal portion of the internal carotid artery and its main branches. Moyamoya is a Japanese word for a “cloud of smoke” that depicts the appearance of collaterals as occlusion of the blood vessels occur due to stenosis. It mostly affects the younger age group and they develop signs and symptoms of transient ischemic attacks, seizures, infarction, and strokes. In children the disease is characterized by ischemic events compared to adults who develop haemorrhagic manifestations. Diagnosis is based on characteristic arteriographic appearance. Management is not very clear although revascularization techniques are being tried. The effects of multiple strokes in the lives of these individuals have a cumulative load in the quality of life. Therefore nurses have a great role to play in the management of patients during the acute as well as the rehabilitative phases. For a comprehensive understanding of the disease here is an article with the details of the disease such as epidemiology, etiology, pathophysiology, clinical manifestations, diagnostic measures, and the management presented along with a case report focusing on nursing management.

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