A normal B 1-2 narrow of ICA C 3-4 significant narrowing of the ICA and characteristic puff-of –smoke collaterals D 5-6 obliteration of the ICA Patients with the characteristic moyamoya vasculopathy who also have wellrecognized associated conditions (described below) are categorized as having the moyamoya syndrome, whereas patients with no known associated risk factors are said to have moyamoya disease. By definition, the pathognomonic arteriographic findings are bilateral in moyamoya disease, although the severity can differ between sides. Patients with unilateral findings have t
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