Matsushima Y, Qian L, Aoyagi M
Department of Neurosurgery, Tokyo Medical and Dental University, Japan.
Clin Neurol Neurosurg. 1997 Oct;99 Suppl 2:S19-22. doi: 10.1016/s0303-8467(97)00034-6.
To find out the causes of many epidemiological differences in Moyamoya disease in Japan and in the People's Republic of China, we performed a bibliographical investigation and an actual survey and reached the following conclusions: (1) Leptospiral infection can cause Moyamoya syndrome which cannot be differentiated from Moyamoya disease unless confirmed through the patients past history and a positive serum test; and (2) Moyamoya disease reported in China may include Moyamoya syndrome caused by leptospiral or other cerebral arteritis.
