RCMJ criteria: all of the following findings: |
Steno-occlusive lesions around the terminal portions of the internal carotid arteries (including the proximal portions of the anterior cerebral arteries and middle cerebral arteries) |
Moyamoya vessels at the base of the brain illustrated by abnormal vascular networks on conventional angiography or more than two flow voids in the basal ganglia on MRI |
Findings 1 and 2 are present bilaterally |
Known diseases with similar angiographic findings (i.e., arteriosclerosis, autoimmune disease, meningitis, brain neoplasm, Down syndrome, neurofibromatosis type 1, head trauma, irradiation to the head, protein C deficiency, protein S deficiency, and other diseases) should be ruled out |
Broad classification: any steno-occlusive lesions that fulfill the following findings: |
Steno-occlusive lesions around the terminal portions of the internal carotid arteries |
Findings of moyamoya vessels may be absent |
Bilateral involvement is not essential |
Known diseases with similar angiographic findings should be ruled out |