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Living with Moyamoya disease

A condition in which brain blood vessels narrow over time, which can cause stroke-like episodes, seizures, and headaches.

Understanding Moyamoya disease

Moyamoya disease is a disorder of the blood vessels in the brain, in which important arteries narrow over time.

As the vessels narrow, blood flow to the brain drops, and tiny fragile vessels form to make up for it. On a scan they look like a puff of smoke, which is what moyamoya means in Japanese. It commonly begins around age 5 or in a person's thirties or forties. Reduced blood flow can cause temporary stroke-like episodes, strokes, and seizures. Fragile vessels can bulge or bleed. Some people also have headaches, jerking movements, or a decline in thinking.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Narrowed brain blood vessels
  • Seizures
  • Stroke-like episodes and strokes
  • Intellectual disability
  • Widened fluid spaces in the brain (ventriculomegaly)
  • Small clusters of widened blood vessels (telangiectasia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in DIAPH1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Moyamoya Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which imaging tests show the extent of the blood vessel narrowing?
What treatment options are available, including surgery?
Which symptoms mean I should get urgent care?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive, X-Linked
GenesDIAPH1

Changes in genes (also called variants) cause this condition. GARD lists the DIAPH1 gene and several inheritance patterns: autosomal dominant, autosomal recessive, and X-linked.

GeneticNeurological

Also known as: idiopathic moyamoya disease; moyamoya syndrome; progressive intracranial arterial occlusion

Patient organizations

Source: NIH GARD · Moyamoya diseaseGARD ID 7064 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Moyamoya disease.

Explore the Moyamoya disease blog

Explore research for Moyamoya disease

Explore actively recruiting Moyamoya disease studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Moyamoya disease with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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