odd! As soon as you eat the noodles, you are dizzy and numb, and beware of the problems in this part of the body

As soon as I ate the noodles, I was dizzy and weak, and when I went to the hospital, I was diagnosed with "smoke disease". What kind of disease is moyamoya disease, and why is it related to noodles? Let the theoplace surgeon of Beijing Ditan Hospital tell you.

Courtesy of Visual China

Abnormal hyperplasia of blood vessels forming "smoke"

Mr. Zhang is in his prime, usually in good health, but he has encountered strange things. Once he was eating noodles with a bowl when suddenly his hands were so numb that he couldn't move, and the bowl and chopsticks fell to the ground. Since then, as soon as he eats noodles, he will be dizzy, his hands and feet will be numb, his limbs will be weak, and he can rest for a while and get back to normal. Mr. Zhang suspected that he had a strange disease and came to Beijing Ditan Hospital for treatment, and finally the neurosurgical team diagnosed Moyamoya disease through clinical judgment combined with cerebral angiography.

Moyamoya sounds like it's related to smoking, but it's not. It is due to the progressive narrowing or occlusion of blood vessels in the main branch of the brain, resulting in abnormal proliferation of the blood vessel network at the base of the skull, forming a "smoke blood vessel", which triggers a series of symptoms. Because this abnormal blood vessel at the base of the skull resembles cooking smoke rising from the forehead on the cerebral angiography image, it is called Moyamoya disease.

This is an uncommon ischemic disease. Through extremely precise bypass + patch combination surgery, the team of Feng Enshan, director of the Department of Neurosurgery of Ditan Hospital, successfully introduced Mr. Zhang's extracranial blood into the skull, completely solved the shortage of intracranial blood supply, and completely alleviated the clinical symptoms.

Why the first symptoms are related to eating noodles

Chen Shichao, the receiving doctor, introduced that the first symptoms of many Patients with Moyamoya Disease were numbness in their hands and feet and muscle weakness when eating noodles. The reason why it occurs when eating noodles is mainly because people will inhale hard when eating noodles, resulting in excessive carbon dioxide discharge in the brain, resulting in cerebral vasoconstriction, reduced blood flow, and Patients with Moyamoya disease will have corresponding symptoms due to insufficient cerebral blood supply. In fact, patients with Smoke Disease may also have similar symptoms when they exercise vigorously and are emotionally agitated, such as getting angry, crying, and running.

What are the manifestations of Moyamoya disease? Usually, children will have symptoms such as speech confusion, different degrees of headache, and emotional irritability and irritability; early symptoms in adults are more obvious, such as different degrees of vomiting, as well as dizziness, headache, limb numbness, blurred vision and other manifestations.

Although the congenital factors of Moyamoya disease are difficult to prevent, the acquired factors are preventable. First of all, it is necessary to control the occurrence of infection, seek medical treatment in time to prevent infectious diseases from causing damage to blood vessels; secondly, it is necessary to change existing bad living habits, such as tobacco and alcohol, high-fat diet, staying up late and lack of exercise.

But prevention is only one aspect, sometimes the disease is not transferred by the will of the person, so if you find suspected symptoms of Moyamoya disease, it is recommended to go to the neurosurgery department of a regular hospital as soon as possible.

Treatment is recognized as the surgical procedure of choice

At present, the accepted treatment of Moyamoya disease in the medical community is to perform surgery as early as possible, that is, before the irreversible dysfunction of brain tissue occurs, the lateral branch circulation channel of blood flow is established through surgery, improving the blood supply to the brain and preventing ischemic damage.

There are two main surgical treatments for Moyamoya disease.

The first option is superficial temporal artery patching, in which the superficial temporal artery is separated to form a fascia strip, sutured on the dura and applied to the surface of the brain, slowly forming a collateral circulation to supply blood to the brain. The advantage of patching is that the operation is simple and the wound is small, and the disadvantage is that it cannot immediately improve the blood supply to the brain, and it takes 3 months to half a year to recover.

The second option is intracranial and extracranial vascular bypass, which is a surgical procedure that directly introduces blood from the extracranial arterial system into ischemic brain tissue by connecting extracranial blood vessels to major intracranial branch blood vessels. Direct bypass surgery can quickly establish the collateral channels of blood vessels, and improve the local cerebral blood supply insufficiency in a short period of time, which is limited in the scope of improvement.

Whether it is a patch or a bypass, the ultimate goal is to drain extracranial blood into the skull. The implementation of the combined surgical protocol of bypass + patching can effectively overcome the shortcomings of the two, and through the combination of the two, the lateral branch channel of blood flow can be quickly established, and the blood supply to the brain can be improved on a larger scale.