Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of [transient ischemic attacks / ischemic stroke / intracranial hemorrhage]. Symptoms include [recurrent headaches / focal neurological deficits / cognitive decline / involuntary movements]. Onset is [acute/insidious]. Known history of Moyamoya disease (ICD-10: I67.5) with [prior surgical revascularization / conservative management]. Current functional status is [stable/declining].
Clinical Examination Findings
Vitals: [BP/HR/Temp/SpO2]. General appearance: [Alert/Oriented/Distressed]. Cardiovascular: Regular rate and rhythm, no murmurs. Respiratory: Clear to auscultation bilaterally. Skin: No signs of neurocutaneous stigmata.
Treatment Protocol
Plan: 1. Antiplatelet therapy: [Aspirin/Clopidogrel]. 2. Blood pressure optimization to maintain cerebral perfusion. 3. Surgical consultation for revascularization (EDAS/STA-MCA bypass) if indicated. 4. Smoking cessation and avoidance of dehydration. 5. Regular neuroimaging surveillance (MRI/MRA/DSA).