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Question - Writing research paper.. (Read 2402 times)
Mikal
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Question - Writing research paper..
Nov 12th, 2006 at 3:30am
 

Hi all,

I'm Mikal and I'm a college student, taking a biopsychology class. We are to write a research paper and I am very interested in the MoyaMoya disease, mainly because I have never heard of it!!

After doing considerable amount of reading, both on this message board - factual responses by other members, and the MoyaMoya website (the wikipedia site is exactly the same as the information here), I still have a question that I was hoping someone could answer.

Why is it that this disease is so rare except in Japan? Is it hereditary among the Japanese, or...?

Please, help me out and post any information you think might be helpful!

Thanks,
Mikal
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Mar
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Re: Question - Writing research paper..
Reply #1 - Nov 12th, 2006 at 8:40am
 
Hi Mikal,

I wish I had specific data for your question, but all I know are the facts I see here on the website every day, and IMO, I don’t think this disease is as rare as they say it is here in the USA. I think it’s gone undiagnosed and under diagnosed here too often for the stats to be correct.

It was first identified and named in the Japan, so it’s recognized and diagnosed there more often. Try going to a family physician here in the USA with MM symptoms and see if the average family physician even knows anything about this disease. From what I’ve seen here, they certainly do NOT and therefore not recognizing this disease early on and diagnosing it.

I don’t know what the wikipedia site says about MMD, but I do know just a few years back when I first heard the words moyamoya, I tried to look it up on the Internet as you are now, and there was virtually no information about MM, except this website that DJ was just putting together, and if you read the posts here from the beginning you would see the lack of knowledge in the medical community about MMD.

Yes, MM is being recognized more and more every day here, thank God, but with the amount of people we see undiagnosed until after their stroke, and the lack of knowledge about this disease in the US, it makes me wonder if MMD really is more rare here than it is in Japan. I'd like to know the answer to your question as well.

Good luck with your research paper!

Mar
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Lore
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Re: Question - Writing research paper..
Reply #2 - Nov 12th, 2006 at 10:26am
 
Hi Mikal,

Glad to hear you are doing a research paper on moya moya disease. I hope it gets noticed and published.

Mar hit it on the nose when she mentioned moya moya goes misdiagnosed or undiagnosed. Most doctors are not educated or trained to recognize or treat moya moya. As a result, the disease goes undetected. However, I understand from some doctors, moya moya is now included in the neurological borads.

Moya moya was originally thought to be an Asian disease and as Mar mentioned, it was because it was first recognized in Japan. Today, moya moya is found in virtually all races. You may have noticed that many on the board are from different parts of the world such as the UK, Australia, Germany, the Netherlands, Korea and Japan.  If you look at the guest book you will see messages from individuals or family members and friends diagnosed with moya moya. I believe there is one close to the top from the Netherlands.

I, Like Mar, do not believe that moya moya is as rare as it appears (1 in 2 million). For example, I live 5 miles outside a town of approximately 30,000. Since my brother was diagnosed in 2004, after going four years misdiagnosed, I have been in contact with 4 other moya moya patients in this area. If I go 75 miles north of where I live, I know of 4 other individuals who have been diagnosed with moya moya. I'm sure there are more than that. I simply don't know the numbers because of obvious reasons - either they haven't made themselves known on this website - and/or they have yet to be properly diagnosed.

Also, there are over 600 so-called rare diseases. Unfortunately, moya moya is in that category. When one has a rare disease, they must be their own advocate because there is little to no interest by the medical community (except Dr. Steinberg and Dr. Scott who have devoted much of their careers to moya moya)  or others unless it directly affects them. Funding for research for a rare disease is almost always hard to come by. If we want research or meaningful clinical trials, we have to raise our own funds, lobby congress etc and there still is no guarantee anyone will take an interest or anything will happen. As this board grows with moya moya victims, it may be such a thing the disease will be more readily noticed and diagnosed earlier and get the attention it deserves.

Moya moya victims range from infants to adults in their 60's. What is also unknown about the disease is why it shows up in an infant but might not show up in an individual until they are an adult.   

I hope this is helpful to you and I hope your research gets noticed. We would like very much to educate others about the disease and to get the word out.

Thank you for the opportunity to share my personal observations about how rare moya moya really isn't with you and hopefully contribute to your paper.

Best wishes and let us know if we can further contribute to your research paper.

Lore
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"What lies behind us and what lies before us are tiny matters compared to what lies within us." - Ralph Waldo Emerson
 
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larab
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Re: Question - Writing research paper..
Reply #3 - Nov 17th, 2006 at 4:18pm
 
Hi Mikal,
             I was recently diagnosed March of this year and had my 1st surgery in May of this year as well. A couple of months ago they did a story on a 2nd boy here in Boston, Ma. who was diagnosed with this disease and Dr. Scott over at Children's Hosp. did his surgery. The newscast did not really touch what MM was. They just talked about this boy being a normal 8 yr. old except for having the 2 scars on each side of his head. Also, my roommate went to a Celtics game 2 weeks ago and he told me that during the 1/2 time shopw they had another young boy go onto the floor ad shoot a few hoops with some of the players and he has MM too. I think it is getting a little more recongized than it has been. This is good for all of us here. I do not need a 2 nd surgery and it looks like I may not which is a good thing. The disease is the same, but we are all a little different I think. I had a TIA 2 yrs. ago and it all went downhill from there. I really hope your paper gets published and you do really well. Lots of luck.

Larab
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ladybugz
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Re: Question - Writing research paper..
Reply #4 - Nov 19th, 2006 at 11:26pm
 
same story as above, diagnosed in March, surgery in May.

MM is more common than we think.  I met someone who has a friend who has a friend with the disease.  The Japanese were the first to discover it, so they are more likely to recognize and understand it. 

It's great that you are writing a paper on it!!  A young friend of mine wrote one on it, as well.  I'm so thankful. I almost want to go into neuroscience just to help other MMers.  I've had so many problems and issues relating to it and it would be great to help others knowing what others are going through. Doctors sometimes don't understand how one reallly feels. 

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