Moyamoya vasculopathy - Patient demographics and characteristics in the Finnish population

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http://hdl.handle.net/10138/310909

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Saarela , M , Mustanoja , S , Pekkola , J , Tyni , T , Hernesniemi , J , Kivipelto , L & Tatlisumak , T 2017 , ' Moyamoya vasculopathy - Patient demographics and characteristics in the Finnish population ' , International Journal of Stroke , vol. 12 , no. 1 , pp. 90-95 . https://doi.org/10.1177/1747493016669847

Titel: Moyamoya vasculopathy - Patient demographics and characteristics in the Finnish population
Författare: Saarela, Marika; Mustanoja, Satu; Pekkola, Johanna; Tyni, Tiina; Hernesniemi, Juha; Kivipelto, Leena; Tatlisumak, Turgut
Upphovmannens organisation: Neurologian yksikkö
Department of Neurosciences
Clinicum
HUS Neurocenter
Department of Diagnostics and Therapeutics
HUS Medical Imaging Center
Lastenneurologian yksikkö
Children's Hospital
HUS Children and Adolescents
Neurokirurgian yksikkö
Datum: 2017-01
Språk: eng
Sidantal: 6
Tillhör serie: International Journal of Stroke
ISSN: 1747-4930
DOI: https://doi.org/10.1177/1747493016669847
Permanenta länken (URI): http://hdl.handle.net/10138/310909
Abstrakt: Background and purpose Moyamoya vasculopathy, a rare steno-occlusive progressive cerebrovascular disorder, has not been thoroughly studied in Caucasian populations. We established a registry of Finnish patients treated at the Helsinki University Hospital, to collect and report demographic and clinical data. Methods We collected data both retrospectively and prospectively from all the patients with a moyamoya vasculopathy referred to our hospital between January 1987 and December 2014. All patients underwent a neurological outpatient clinic visit. Results We diagnosed 61 patients (50 females, 10 children) with moyamoya vasculopathy. The mean age at the disease-onset was 31.517.9 years. The two most common presenting symptoms were ischemic stroke (n=31) and hemorrhage (n=8). Forty-four percent underwent revascularization surgery, and 70% were prescribed antithrombotic treatment. Conclusions The results support in part the Western phenotype of the disease considering the later presentation and larger female predominance compared to the Asian moyamoya vasculopathy reports. However, the proportion of ischemic strokes and hemorrhagic strokes is closer to Japanese population than German population. The absence of familial cases points to a different genetic profile in the Finnish patients.
Subject: Moyamoya
ischemic stroke
hemorrhagic stroke
epidemiology
clinical characteristics
vasculopathy
EPIDEMIOLOGIC FEATURES
DISEASE
JAPAN
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
Referentgranskad: Ja
Licens: unspecified
Användningsbegränsning: openAccess
Parallelpublicerad version: acceptedVersion


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