A survey of Moyamoya disease in Hawaii.
Copyright (c) 1997 Elsevier Science B.V. All rights reserved.
Moyamoya disease (MMD) is a rare entity in the US with a few retrospective series and sporadic cases reported in the US and North America.
Although it is known that MMD exists in all races, there is a predilection for people of Asian origin.
Because of the relatively high percentage of Asians living in Hawaii, it was hypothesized that the estimated prevalence of MMD would be higher in Hawaii than the remaining US.
All practicing neurologists, neurosurgeons, neuroradiologists and major hospitals in Hawaii were surveyed for MMD patients treated during the past 10 years.
Medical records and angiograms (when available) were reviewed and the diagnostic guidelines for MMD from the Ministry of Health and Welfare of Japan applied.
There were 53 records reviewed in 42 patients ; 21 fulfilled the criteria for definite Moyamoya disease which were the focus of this study.
In Hawaii, the prevalence of MMD was higher in patients of Japanese descent compared to Caucasians (P=0.012) and higher than in the remaining US (P<0.001).
Non-Japanese Asians and Pacific Islanders had a higher incidence of MMD than Caucasians that was not statistically significant.
There was no difference in MMD among Japanese living in Hawaii or Japan.
Males had an equal percentage of hemorrhage and infarcts ; females tended to have a higher incidence of ischemic events rather than hemorrhage. (...)
Mots-clés Pascal : Nishimoto Kudo maladie, Hawaï, Polynésie, Océanie, Etats Unis, Amérique du Nord, Amérique, Accident cérébrovasculaire, Ischémie, Hémorragie, Intracrânien, Ethnie, Age, Sexe, Prévalence, Epidémiologie, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Cérébrovasculaire pathologie
Mots-clés Pascal anglais : Nishimoto Kudo disease, Hawaii, Polynesia, Oceania, United States, North America, America, Stroke, Ischemia, Hemorrhage, Intracranial, Ethnic group, Age, Sex, Prevalence, Epidemiology, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cardiovascular disease, Vascular disease, Cerebrovascular disease
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0006955
Code Inist : 002B17C. Création : 17/04/1998.