21,388 followers
Very 1st case I heard on Rheum Rounds 1984 was on Moya-Moya. A review of Delay & mis-Dx in 38% of 192 pts - time to Dx=mean 5.28 yrs; usually misDx as cerebral vasculitis (31%), stroke(30%) & MS(3.6%). Moyamoya is progressive, occlusive cerebrovasc