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Moyamoya Related Topics >> Moyamoya Related Information and Support >> Very informal and unscientific survey
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Message started by tuknits on Nov 16th, 2010 at 8:08pm

Title: Very informal and unscientific survey
Post by tuknits on Nov 16th, 2010 at 8:08pm
I know that a lot of us are really frustrated by doctors who either don't know anything about moyamoya or think that they do and give us false information or don't think we know anything about our own disease and write our opinions off as invalid (am I sounding a little bitter?).
So here are some things that I frequently hear from doctors that they say are not related to moyamoya:
Headaches
Fatigue
Seizures

It seems to me from reading years of posts that a pretty significant number of us have one or more of these issues, more so than what would just be coincidence.  So I was just curious if that is actually true.  I thought I would take an informal poll by return posts to see how many of us has one or more of these issues.  It would be great if even those who do not would reply as well to give us a better set of data.  In your reply, if you don't mind disclosing the info, please say if you have had surgery, if you have headaches - whether they started before or after surgery, if you have fatigue - describe the nature of the fatigue (how tired would you say you are, is it daily, with specific activities, etc.), same for seizures - before or after surgery, etc.

I know this is really unscientific but I have wondered about it for some time and thought that others might be wondering too.

Title: Re: Very informal and unscientific survey
Post by Dawn on Nov 17th, 2010 at 8:09am
My daughter definitely had headaches, fatigues, Seizures, weakness, crying and hyperventilating.........I started taking her to the dr. with my concerns at the age of 12 mos. My concerns were dismissed several times........I finally insisted on a pediatrician appt. and an EEG at our local hospital........EEG came out fine.............my concerns were dismissed. She continued to have headaches...what we now know were TIA's etc at daycare...several more trips to the local dr., pediatrician refused to see me........then the ER dept.--finally I emailed a clinic in Toronto ON, then was seen by a pediatric neurologist........had another EEG--which was normal........finally she was diagnosed at age 6........had 2 surgeries, a stroke after each surgery............she continues to have an occasional headache, some abnormal movements, few to no TIA's. WE are now 2 years post stroke, and post surgery.........she is progressing very well and has recovered well from strokes.........some limited left hand movement and her swallow--is going to be assessed soon.
I have learned to listen to my daughter's symptoms and trust my instincts.........all moyamoya cases are unique......but definitely fatigue, hydration, headaches, weakness, abnormal movements, "dizzy, tingly" sensations seem to be quite universal among Moyamoya patients. ofcourse we feel blessed/lucky that our child is doing so well.....but being ignored, feeling helpless as a parent early on was the biggest frustration in dealing with this disease.

Dawn

Title: Re: Very informal and unscientific survey
Post by STrantas on Nov 17th, 2010 at 11:50am
Headache and fatigue for me!  I talk to other MM folks and they say they are always tired, just like me! 

FYI - My doc said the headaches are, indeed, related.  Per my doc, they are indications that your brain is working really hard trying to get the blood flow where it needs to be....

-Shari

Title: Re: Very informal and unscientific survey
Post by Becky on Nov 17th, 2010 at 12:30pm
Headaches and fatigue from me too.

My Neurologist said the headaches are related to my MM and the fatigue a part of it as well. When I get too tiered or fatigued then the headaches come. Or the headaches are triggered from outside influences.

All of it is related to your blood flow like Shari said.

Title: Re: Very informal and unscientific survey
Post by Maggi on Nov 17th, 2010 at 3:07pm
I agree. It is all related to the blood flow of the brain.

Title: Re: Very informal and unscientific survey
Post by hrsridermom on Nov 17th, 2010 at 9:56pm
My daughter had headaches and that's how we found the moyamoya.  Had surgery on one side but still has lots of headaches.  Recently started having numbness in her face.  Not sure if it's medications she on or if it's TIA's.  She goes for a CT Angio next week to see how things are flowing.

Title: Re: Very informal and unscientific survey
Post by Mayhem on Nov 18th, 2010 at 4:25pm
I had hellacious migraines from my early teen years to adulthood. That was the reason I sought out a neurologist. At one point I had a headache, of varying intensities, for five years. Post surgical I've had maybe three bad ones.

Title: Re: Very informal and unscientific survey
Post by hanginon on Jan 1st, 2011 at 6:00pm
Yes, definitely.  My daughter had severe headaches since she was a toddler, and was seen at a nationally known headache clinic for years.  They did not think about doing an MRI-MRA till age 15, when the MM was found.

Had bilateral by-passes.  Still has daily throbbing headaches, related to blood flow in brain.  Also, gets periods of numbness, with dizziness.

Title: Re: Very informal and unscientific survey
Post by Larry on Jan 2nd, 2011 at 1:50pm
Definetly headaches befor surgeries none since. Was losing vision  in right eye onset of headaches . My Dr. told me I was having migrains. After taking Relpax last Nov. for migrain and having adverse reaction Dr. orders MRI/MRA. Tests show blocked inner carotid arteries. Local Neuro sends me to Cleveland Clinic . Diagnosed with MM. 2 STA-MC surgeries later no headaches and trying to return to normal.

Title: Re: Very informal and unscientific survey
Post by tammy66 on Jan 7th, 2011 at 8:52pm
My daughter had 4 focal seizures age during first 2 years of life, put on tegretol, saw neurologist then taken off tegretol by age 4.  Started with headaches while on tegretol.  Kept a diary for pediatrician,  found it was mostly related to over excitement, tiredness and busy activities - "nothing to be concerned about".  Kept monitoring them, then started seeing spots, still with headaches, passed out twice, went back to Neurologist - ordered mri, eeg and retina specialist.  first step was mri- passed out there and found MM, diagnosed age 7.  Had bilateral pial synagiosis age 9.  Still having headaches and still tired during holidays or lots of activity.    She gets pale, and this look that instantly i can tell she will wake up with a headache.  Her headaches are always in the early morning, she throws up mucous and they are mainly frontal.  (was later told one of focal seizures was a tia).
I believe fatigue, headaches and seizures are associated with MM. 
It is good to do research like this.  THere are a lot of kids with headaches that get ignored.
TAmmy

Title: Re: Very informal and unscientific survey
Post by DFior on Jan 10th, 2011 at 9:35pm
I associated tiredness as causing the incidents. But maybe I didn't understand the association.Sammy does get upset more easily and this has caused mild tingling and recently the temporary loss of strength in one leg. On New Years Eve after blowing the noisemakers she had an episode. I wasn't sure if it was related

Title: Re: Very informal and unscientific survey
Post by jac.scot on Jan 12th, 2011 at 5:54am
my daughters neurologist has advised us to avoid any activities like blowing into musical instrument or blowing up balloons as it affects your co2 levels which in turn affects brain perfusion.

Title: Re: Very informal and unscientific survey
Post by yunnanababy on Jan 13th, 2011 at 11:20am
My daughter had two pial synangiosis surgeries in October 2009.  Both before & after surgeries, my daughter will often report a tingling feeling in her hands, or an overall weakness in her body, especially in her legs after a crying episode.  She will also get migraines if she doesn't stay well-hydrated or becomes overly tired.  Migraines, always with nausea & vomiting, which started when she was 3.5, were our first indication of MM.

Before receiving the correct MM diagnosis, my daughter was misdiagnosed with complex migraines w/seizures and was prescribed Trileptal for the so-called focal "seizures".  After receiving the MM diagnosis I am certain that what she experienced were TIAs, not focal seizures. 

After Ruby's one-year post surgical angio this past October, which showed that perfusion on both sides of her brain is now normal, and blood work which indicated that the level of Trileptal in her system was non-therapeutic, her pedi neuro recommended that we wean her off the Trileptal.  She had her last dose a couple of months ago, and thankfully has had no ill effects from stopping the medicine.  I am extremely glad that she is no longer taking a med that for her was both unnecessary & non-therapeutic.

Next I hope to be able to stop her anti-migraine medication, Imipramine, that she has been taking for the past 3.5 years - I don't think it is effective for her at all.   In the 3.5 years she's been taking this med, I've not met a single person who takes it as an anti-migraine.

Title: Re: Very informal and unscientific survey
Post by dsrm5482 on Jan 16th, 2011 at 2:11pm
Kyle had 2 major migraine episodes about 4 months prior to the mjr stroke in the left hemisphere that sent us to TX childrens' where he was DX'd w/ MM (age 3 1/2).  Had surgery on both sides (EDAS + dura-inversion).  A few yrs later I mentioned his evening tiredness to a Neurosurgeon at a brain forum and he said that is normal after brain injury due to unaffected areas of the brain having to do more work (crossover, etc) than otherwise would and so they get more tired easier than the normal kid.
He's continued to have a migraine 3-4 X yr, always wakes up w/ them and had nausea when younger. He's now 17 1/2 and taking Depakote for migraines and it is doing a good job of preventing them.  He has daily mild headaches the DR associates with out-of-alligned neck/shoulder muscles from the paralysis.  Kyle won't do the strengthening exercises to help that. Maybe someday.
To my knowledge, he's never had a seizure.
From our experience and all that I've read on this msg bd, all of these symptoms are typical with MM.

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