International Journal of Medical Practitioners

International Journal of Medical Practitioners

Current Issue Volume No: 1 Issue No: 1

Case-report Article Open Access
  • Available online freely Peer Reviewed

  • A 5 Years Old Female Child Recovered From Moyamoya Disease With Unani Formulation: A Case Report

    1 Department of TST, Govt Tibbi College and Hospital, Patna cum Chief Consultant Unicure Unani Health Care Centre, Patna instead of Hod Department of Kulliyat, National Institute of Unani Medicine, Bangalore 

    2 PG Scholar, Department of Moalajat, Govt Tibbi College and Hospital Patna 

    3 HoD Department of Kulliyat, National Institute of Unani Medicine Bangalore 

    Abstract

    Moyamoya disease is a very rare chronic circulatory occlusive disorder of the blood vessels of the brain, in which patients complain of headache, seizure, weakness, and sometimes paralysis. A 5 years old female child with a complaint of headache and seizure was admitted elsewhere and during the treatment, she was diagnosed with Moyamoya disease. Further, she went to AIIMS Patna, where the neurosurgeon advised Digital Subtraction Angiography (DSA) and after the final diagnosis, they suggest the surgical intervention of the brain. During the search for an alternative treatment, they consulted my center for Unani treatment. We advised a semiliquid Unani polyherbal formulation containing Gule Banafsha (Viola odorata), Ustukhuddoos(Lavandula stoechas), and Nilofer (Nymphaea alba Linn) for three months. After the completion of the treatment schedule, she went for DSA again in Patna AIIMS and they find that there is no sign of occlusion in the blood vessels of the brain. The patient has no complaints and the report also showed that she gets improved. 
    Author Contributions
    Received Feb 07, 2023     Accepted Mar 10, 2023     Published Mar 30, 2023

    Copyright© 2023 Shafat Karim Md, et al.
    License
    Creative Commons License   This work is licensed under a Creative Commons Attribution 4.0 International License. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    Competing interests

    The authors have declared that no competing interests exist.

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    Citation:

    Shafat Karim Md, Khatoon Fauzia, Firoz Wasim, Zulkifle Mohd et al. (2023) A 5 Years Old Female Child Recovered From Moyamoya Disease With Unani Formulation: A Case Report International Journal of Medical Practitioners. - 1(1):4-6
    DOI

    Introduction

    Introduction

    Moyamoya disease is a circulatory disorder of the brain's blood vessels characterized by irreversible vascular occlusion of the branches of the Circle of Willis. The process of narrowing of cerebral vessels seems to be a reaction of brain blood vessels to a wide variety of external stimuli, injuries, or genetic defects. The process of blockage, once it begins, tends to continue despite any known medical management unless treated with surgery1. It is a very rare disease with a reported incidence of 0.086 per 100,000 populations and it is idiopathic, chronic, and progressive in nature2. The common symptom of Moyamoya is recurrent migraine-like headaches. After a long time, it causes stenosis of intracranial internal carotid arteries resulting the reduced blood supply to the anterior surface of the brain, thereby leading to the formation of collaterals near the apex of carotids3. nani classical literature explains the disease in which partial or complete narrowing of the blood vessels occurs due to yaboosat (dryness) in a particular organ.

    Discussion

    Discussion

    The basic pathophysiology of Moyamoya disease is the circulatory deficiency in the brain. This circulatory deficiency results from the progressive narrowing of blood vessels. The precipitating factor for narrowing is not known, genetic and external factors are blamed for it. The only hope for the patient is a surgical intervention for reperfusion of affected brain tissue. Unani medicine relies more on qualities and their effects. Yabusat (dryness) is considered responsible for narrowing and its consequences. The brain reacts differently to the relative ischemia of the Moyamoya phenomenon. The most common manifestation is a migraine-like headache followed by seizures. In severe form, it may cause paralysis.  The parents of under discussion patient refused surgery and decided to opt alternate healing system. The parents with the patient and medical records came to unicure health center Patna. After a thorough study, it was decided to put the patient on such medicine which reduces dryness and removes occlusion if any. For this purpose, Ustukhuddoos (Lavandula stoechas), Gule Banafsha (Viola odorata), and Nilofer (Nymphaea alba Linn) based semisolid preparation was prepared in honey and 5 gm of this was advised orally with 20 ml Sikanjbeensada. Gule Banafsha (Viola odorata) and Nilofer (Nymphaea alba Linn) along ith Sikanjbeensada reduce dryness and produce moisture which overcomes the narrowing of vessels by relaxing them. Ustukhuddoos (Lavandula stoechas), Gule Banafsha (Viola odorata) along with Sikanjbeensada remove vascular occlusion and improve circulation by thinning the blood. They also ease the flow of blood through vessels. Ustukhuddoos (Lavandula stoechas) is one of the drugs of choice for the disease of the brain and the plant has been credited with cephalic virtue and is called Jarub-i-Dimagh which means broom of the brain. It is useful to treat many ailments of the brain and nerves like epilepsy, tremor, flaccidity, chorea, migraine, and even concussion of the brain4. Gule Banafsha (Viola odorata) has sedation and pre-anesthetic effects5 effective in migraine headaches6 depression7 inflammation8 and pain9. It is employed as an anti-inflammatory, anodyne, astringent, antiscrophulatic, cardiotonic, demulcent, sedative, and aphrodisiac 101112. In this disease, there is shrinkage or stenosis of blood vessels resulting in the blockage of the blood vessels. The basic pathophysiology of Moyamoya disease is the circulatory deficiency in the brain. This circulatory deficiency results from the progressive narrowing of blood vessels. The precipitating factor for narrowing is not known, genetic and external factors are blamed for it. The only hope for the patient is a surgical intervention for reperfusion of affected brain tissue. Unani medicine relies more on qualities and their effects. Yabusat (dryness) is considered responsible for narrowing and its consequences. The brain reacts differently to the relative ischemia of the Moyamoya phenomenon. The most common manifestation is a migraine-like headache followed by seizures. In severe form, it may cause paralysis.

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