WebLog Journal of Physical Therapy and Rehabilitation

Moya Moya Disease (MMD) is a rare, chronic, and progressive cerebrovascular disorder characterized by the bilateral, stenotic occlusion of the terminal portions of the internal carotid arteries and the proximal parts of the anterior and middle cerebral arteries [1]. This progressive narrowing leads to the formation of a fine, collateral vascular network at the base of the brain, visualized on angiography as a "puff of smoke"—the Japanese term from which the disease derives its name [2]. The…