A puff of smoke – Moya moya

Once considered rare in Europe, we see the puff of smoke quite often and not only in symptomatic patients. In spite of the literature

I have not yet understood what happens in Moya moya. In adult medicine we tend to see a lot of symptomatic Moya moya syndromes rather than the classical disease, although it is not clear to me whether the original disease is really always primary…

Moya moya seems to be the one disease where bypass surgery is still recommended, so we have to consider referring our 39 yo male patient with bilateral Moya moya for surgery.

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