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Recovery and Long Term Implications of Moyamoya
Recovery and Long Term Implications of Moyamoya
It is not uncommon for patients to have persistent symptoms for several weeks after surgery. It's very unusual for patients to have a stroke after surgery. We advise patients that most new post op symptoms will likely gradually improve after surgery, but to keep a log/diary of them and communicate them to our team. Deficits from previous strokes are unlikely to improve with surgery.
Headaches may or may not be related to moyamoya. Therefore, it's difficult to say if they will be improved with surgery. They may temporarily be worsened after surgery.
This can vary from patient to patient, but we recommend that most patients plan to take off approximately 4–6 weeks for surgical recovery.
This is also variable from patient to patient. Most patients experience a gradual recovery over the course of a several weeks. It's not unusual for patients to feel pretty good shortly after surgery, and then to over-exert themselves. This sometimes results in a feeling of low energy. Be patient with yourself and give your body adequate time to recover!
Avoiding excessive caffeinated drinks is important, as they will make you urinate a lot and actually lose fluids. However, this does not mean caffeine is prohibited. It's just recommended that it not be used excessively.
We recommend avoiding oral birth control pills or hormone replacement therapy. These medications have a higher risk of causing development of blood clots, which could potentially impair flow through the bypass graft. We recommend discussing alternative methods of birth control with your primary MD or gynecologist.
There are minimal lifestyle limitations after bypass surgery. Patients should avoid wearing anything tight around the area in front of the ears that might constrict the grafts. There are no other specific limitations, but if you have additional questions, please call our office at 650-723-5575.
There are no pregnancy restrictions after surgical revascularization to treat moyamoya. Patients are asked to stay on their aspirin, and to have their obstetrician work with our team to ensure open communication is maintained. There are no specific restrictions for labor and delivery. Normal vaginal delivery is fine when considering the history of moyamoya.
It is recommended that moyamoya patients do not donate blood. Blood donation can deplete the overall blood volume and potentially increase the risk of TIA or stroke.
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