Adeel Ur Rehman on Instagram: "Puff of Smoke in the Brain 🚨 | Moyamoya Disease Seen on cerebral angiography, the “puff of smoke” sign represents progressive stenosis of the distal internal carotid arteries and proximal ACA/MCA, with formation of fine lenticulostriate collateral vessels. The posterior circulation is relatively spared, helping differentiate Moyamoya from other vasculopathies. 📌 Why it matters: These fragile collaterals predispose patients to ischemic strokes, intracranial hemorr
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Adeel Ur Rehman on Instagram: "Puff of Smoke in the Brain 🚨 | Moyamoya Disease Seen on cerebral angiography, the “puff of smoke” sign represents progressive stenosis of the distal internal carotid arteries and proximal ACA/MCA, with formation of fine lenticulostriate collateral vessels. The posterior circulation is relatively spared, helping differentiate Moyamoya from other vasculopathies. 📌 Why it matters: These fragile collaterals predispose patients to ischemic strokes, intracranial hemorr
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