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Diagnosis time vs treatment (Read 5000 times)
holyreefer
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Diagnosis time vs treatment
May 15th, 2007 at 10:03pm
 
I just got diagnosed with Moyamoya after being given the runaround at my local hospital.  We are currently working with two neurosurgeons in the Milwaukee area and getting 2 opinions.  My aneurysm is located on the right side of brain, in the back.  They said it's tricky to get to.

Just curious, how long was it between your initial diagnosis and your treatment?

How fast do symptoms of mental decline happen?

Side note, why do so many people have a black eye in their after surgery pics?

Thanks,

Q
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Islandentity
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My son Robert has MM

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Drummond Island, USA, usa, 387, 60, MI, Michigan
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Re: Diagnosis time vs treatment
Reply #1 - May 16th, 2007 at 2:18am
 
reefer, dude, moyamoya and a anyeruism is 2 different things........... a aneyeruism is a weak spot or bulge in a vessel.  Moyamoya is the systematic progessive collapse of the carotid artieries. and the growth of other arteries to try and maintain adaquate blood flow to the brain

the rapidness of Treatment for moyamoya would depend on the severity or progession of your case and your surgeons availablity.

The treatment for moyamoya by either direct or indirect bypass involves using a temple artery to supply blood beyond the point of collapse. Because of  the proximity of the temple artery(s) to the eyes, you would have tro expect the swelling and black eyes after surgery. Do your resreach and find out what your dealing with for sure. All of us will help you with any question you may have.

I am not trying to be rude but rather my son was first diagnoissed as a possible anyeruism then with MM. treatments are totally different, and expertise with MM is limited.

Mike
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moyamoi
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Re: Diagnosis time vs treatment
Reply #2 - May 16th, 2007 at 3:28am
 
Yeah I was just thinking the same thing - an aneurism is not MM. In answer to your original question it all comes down to one major point - how good your doctors are. If they are on the ball then they will take action immediately, but if they are not you may remain undiagnosed for years and have the distinct possibility of something major happening before any action is taken.
It all comes down to how seriously you value your health as ultimately it is your decision what you do. If your doctors adapt a wait and see attitude like so many of the others on this board, then you need to be pro active on what you do about it. If they decide to put you through surgery, I would develop a great deal more respect for them as obviously they are seriously considering your future quality of life and are prepared to take it seriously
Moira
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Mar
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Re: Diagnosis time vs treatment
Reply #3 - May 16th, 2007 at 8:38am
 
Hi Q, Smiley Welcome to our MM family!

That runaround you dealt with is very common in the medical profession when dealing with MM. I have to agree with Moira 100%. It depends on how good your doctor is at treating this rare disease that decides how soon you’ll get treatment after your diagnosis. This is a progressive disease, it gets worse over time and you’re always at risk for a stroke with MMD at any stage, so prompt treatment is so important! Delay in treatment is a particular pitfall we see due to lack of knowledge and experience with "the disease itself." That’s why we always urge a second opinion with a MM expert, one who deals with this disease on a daily basis. Unfortunately there are only a few MM experts in the country, but they are out there. Patients usually send the MM specialist their films to get their expert opinion and direct them on the correct path of treatment.

A great piece of advice is to learn all you can about this disease. If you arm yourself with knowledge, then no one can steer you away from the treatment that’s best for your particular case. The facts will speak for themselves, and that’s comforting in a world that doesn’t know enough about this rare disease.

Regarding your question as to the mental decline, that's so hard to say, because no two cases of MMD are the same because of each persons personal factors involved. It varies from patient to patient, but the possibilty of a stroke always exsists in anyone whose diagnosed with MMD and there lies the danger. With MMD, your arteries progressively narrow, so your brain lacks the proper amount of blood/oxygen that it so desperately needs, and the MM vessels that formed, even though they are helping with the blood supply, they are abnormal vessels and they are weak and fragile and at any time can rupture and bleed and cause a stroke and mental decline.

If you have any questions, please don’t hesitate to ask. No question is too small. We’ve all been down this road and understand. We’ll be happy to help you or a family member in any way we can.

You’re in my thoughts and prayers.

Mar
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holyreefer
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Re: Diagnosis time vs treatment
Reply #4 - May 16th, 2007 at 3:09pm
 
Thank you for your responses.  I'm still new at wrapping my head around this.  Two and a half weeks ago I went into the ER with a severe headache and had to demand a CAT scan as they were going to send me home with eyedrops.  I was misdiagnosed with AVM and an aneurysm.  We are currently working between 2 neurologists, neither of whom are MMR experts.  One at least is knowledgeable in it and detected it right away.  The original neurologist insisted it was AVM until his colleague at Northwestern University told him it was Moyamoya. 

We were told (by both doctors) that I have moyamoya disease as well as an aneurysm.  They are probably not as well versed as you all who have lived through it but I’m just sharing what I was told.  Last week I had a second angiogram by my second neurologist and hope to get feedback regarding that soon.

Unfortunately, the problem area of my brain is in a pretty unreachable spot and can cause a stroke if touched.  So we’re just slowly getting into research now that we actually know what it is.

Thanks for all your information and help.  It’s great to have found such a valuable resource center online!

-Q
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holyreefer
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Milwaukee, USA, WI, Wisconsin
Re: Diagnosis time vs treatment
Reply #5 - May 16th, 2007 at 3:10pm
 
Oops.  Didn't mean to call it MMR, make that MM.
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Skay
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Re: Diagnosis time vs treatment
Reply #6 - May 16th, 2007 at 10:08pm
 
I was diagnosed with two brain aneurysms in my home town and then was sent to the University of Iowa City where I had an angiogram and they found I also mm. I had both aneurysms coiled. They took a chance on the second one because it was risky but I made. After I got thru that then had revascularization bypass surgery. That was one year later. I was lucky to have doctors that were familiar with mm. Have been stroke free for 4 years. Like the others have said you need stay on this and find the right doctor who will give the answers you need.

Take care and Godbless, Skay
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Carol Mae
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dx MM Mar 07

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Rockledge, USA, usa, 469, 278, FL, Florida
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Re: Diagnosis time vs treatment
Reply #7 - May 23rd, 2007 at 10:37am
 
There may be a slight difference in how the term aneurysm is used here.  I’ve seen the term used to describe a “weak spot” in a vessel but also to describe the actual hemorrhage after the “weak” vessel breaks and bleeds into the brain, (Hemorrhaging stoke) and probably in this way the term is used to describe a MM vessel hemorrhaging/bleeding into the brain.  It may also be used to describe a weak MM vessel itself, which in effect can meet the definition of an aneurysm.    Smiley

For me the turn around time from my diagnoses to treatment was VERY short.  Mar 19 diagnosed with MM, Second opinion sought mid April, TREATMENT to include direct by-pass surgery in May 16! I’m getting the staples out TODAY!   Smiley

I am probably the luckiest person to every have been correctly diagnosed with MM!  I only have it on one side (left) so far.  I have had no damaging or debilitating symptoms or side effects.  And my prognoses from here on is GREAT!

The important issue with anything to do with MM is to get an EXPERT opinion.  Someone who deals with this on a regular basis! 

Good luck,
Carol Mae
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Carol Mae
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kotipup
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My daughter, Daphne, has
Moyamoya

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Landenberg, USA, PA, Pennsylvania
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Re: Diagnosis time vs treatment
Reply #8 - May 24th, 2007 at 11:04pm
 
My daughter is not a typical MM case, but she recieved her surgeries two months after her MM diagnosis... she'd already suffered 2 strokes at the time of her diagnosis (she was 15 months old at the time of surgeries), and was at serious risk for more, so time was of the essence.

I think the symptoms differ for everyone, but - unfortunately - without treatment further symptoms are inevitable.  However, treatment can significantly help.  (My daughter's cerebral blood flow improved by 200% a year after surgery, for example)

My daughter only ended up with a little bruising under her eye... I think it is just from the trauma of surgery -- like how a person can get a black eye from nose surgery, or breaking a nose.

I hope you find a surgeon you feel confident in.  Just in case, though, I highly recommend Dr. Steinberg of Stanford.  We travelled all the way from Pennsylvania to see him, and I am so glad that we did Smiley

Jenny (mom to Daphne www.daphnestory.com)
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