What causes frequent headaches and dizziness in patients with Moyamoya disease, and what should be done about it?
Headaches and dizziness in patients with moyamoya disease are generally caused by insufficient cerebral blood supply, which can be treated with medication or surgery. The specific analysis is as follows:
Moyamoya disease usually refers to an abnormal cerebrovascular condition at the base of the brain, caused by chronic progressive stenosis or occlusion of the terminal portions of the bilateral internal carotid arteries, leading subsequently to abnormal collateral vascular networks at the skull base. The initial symptoms of this disease are relatively mild or nonspecific; many patients may experience transient ischemic attacks, resulting in temporary dizziness followed by rapid recovery. As the disease progresses, the area of cerebral ischemia gradually enlarges, leading to more obvious symptoms such as dizziness, headache, and impaired consciousness.
There is no specific curative drug for moyamoya disease, but medications can be used for prevention. For patients with a history of hypertension, drugs such as nifedipine controlled-release tablets or amlodipine besylate tablets may be taken to achieve target blood pressure levels. If sleep quality is poor or emotional fluctuations occur easily, medications such as Anshen Bunao Liquid or Compound Zao Ren Capsules may help alleviate symptoms. In severe cases, revascularization surgery can be performed to prevent and treat moyamoya disease.