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Moyamoya Disease Associated With Morning Glory Disc Anomaly and Other Ophthalmic Findings: A Mini-Review.
Frontiers in Neurology ( IF 3.4 ) Pub Date : 2020-05-15 , DOI: 10.3389/fneur.2020.00338
Yue-Ye Wang 1 , Ke-Yao Zhou 2 , Yang Ye 1 , Fan Song 1 , Jin Yu 2 , Jin-Cao Chen 2 , Ke Yao 1
Affiliation  

Moyamoya disease (MMD) is a chronic cerebrovascular disease that frequently results in intracranial ischemia or hemorrhage. Its concurrence with varying ophthalmic findings is relatively rare yet may lead to irreversible blindness. We performed a search and review of the literature to characterize the relevance of MMD (excluding moyamoya syndrome) and ophthalmic findings. As a result, a total of 38 articles identified from PubMed and Web of Science were included in this mini-review. Patients with MMD sometimes present with decreased visual acuity or visual field defects before the onset of symptomatic cerebrovascular dysfunction. The most predominant ophthalmic condition in MMD patients is the morning glory disc anomaly (MGDA). Deficiency during neuroectodermal genesis and subsequent mesodermal changes may be responsible for the association between these two diseases. Thus, it may be beneficial for patients with MGDA to receive cerebral vascular examinations as the precaution against life-threatening intracranial angiopathy. Other ophthalmic findings reported in cases of MMD include retinal vascular occlusion, optic disc pallor, cortical blindness, etc. For most of the patients with MMD, retinal examinations would be recommended to prevent potential loss of vision. It is essential for both neurologists and ophthalmologists to be aware of the correlation between cerebrovascular diseases such as MMD and ocular manifestations to achieve a comprehensive diagnosis.

中文翻译:

与牵牛花间盘异常和其他眼科检查结果相关的烟雾病:一项小型回顾。

Moyamoya病(MMD)是一种慢性脑血管疾病,经常导致颅内缺血或出血。它与各种眼科检查结果同时出现的情况相对较少,但可能导致不可逆转的失明。我们进行了搜索和文献复习,以表征MMD(不包括烟雾病)和眼科检查结果的相关性。结果,这份小型综述总共包含了38条来自PubMed和Web of Science的文章。MMD患者有时在症状性脑血管功能障碍发作之前出现视力下降或视野缺损。MMD患者中最主要的眼科疾病是牵牛花盘异常(MGDA)。神经外胚层发生过程中的缺乏和随后的中胚层变化可能是这两种疾病之间的联系的原因。因此,MGDA患者接受脑血管检查作为预防威胁生命的颅内血管病的预防措施可能是有益的。在MMD病例中报告的其他眼科检查结果包括视网膜血管阻塞,视盘苍白,皮质盲等。对于大多数MMD患者,建议进行视网膜检查以防止潜在的视力丧失。对于神经科医生和眼科医生来说,必须了解诸如MMD之类的脑血管疾病与眼部表现之间的相关性,以实现全面的诊断。MGDA患者接受脑血管检查作为预防威胁生命的颅内血管病的预防措施可能是有益的。在MMD病例中报告的其他眼科检查结果包括视网膜血管阻塞,视盘苍白,皮质盲等。对于大多数MMD患者,建议进行视网膜检查以防止潜在的视力丧失。对于神经科医生和眼科医生来说,必须了解诸如MMD之类的脑血管疾病与眼部表现之间的相关性,以实现全面的诊断。MGDA患者接受脑血管检查作为预防威胁生命的颅内血管病的预防措施可能是有益的。在MMD病例中报告的其他眼科检查结果包括视网膜血管阻塞,视盘苍白,皮质盲等。对于大多数MMD患者,建议进行视网膜检查以防止潜在的视力丧失。对于神经科医生和眼科医生来说,必须了解诸如MMD之类的脑血管疾病与眼部表现之间的相关性,以实现全面的诊断。建议进行视网膜检查以防止潜在的视力丧失。对于神经科医生和眼科医生来说,必须了解诸如MMD之类的脑血管疾病与眼部表现之间的相关性,以实现全面的诊断。建议进行视网膜检查以防止潜在的视力丧失。对于神经科医生和眼科医生来说,必须了解诸如MMD之类的脑血管疾病与眼部表现之间的相关性,以实现全面的诊断。
更新日期:2020-05-15
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