Abstract:
ob<x>jective To discuss the clinical characteristics, diagnosis, treatment and prognosis of patients with moyamoya disease complicated with posterior circulation lesions, so as to improve the understanding of this disease. Methods The clinical data of 150 patients with moyamoya (disease complicated with posterior circulation lesions diagnosed and treated in the Affiliated Hospital of Xuzhou Medical University from January 2013 to February 2019 were retrospectively analyzed. Results In this group, there were two peaks in the age distribution of patients aged 10-14 years and 40-44 years, and there was no significant difference between male and female in each age group (P> 0.05).. There were 14 cases (9.3%) with family genetic history. In this group, the primary clinical features were transient ischemic attack (TISA) in 70 cases (46.7%) and stroke in 38 cases (25.3%). All patients were confirmed by DSA examination and found to have varying degrees of compensatory blood supply. All the patients received symptomatic treatment after admission, 134 of them underwent vascular revascularization, and were followed up for 24 months after discharge. No death cases were found and no serious complications were found. Conclusions Epidemiological, clinical and imaging characteristics of moyamoya disease with posterior circulation lesions to facilitate early diagnosis and treatment