I |
Arrowing of the carotid fork |
II |
Initiation of the moyamoya (dilated major cerebral artery and a slight moyamoya vessel network) |
III |
Intensification of the moyamoya (disappearance of the middle and anterior cerebral arteries, and thick and distinct moyamoya vessels) |
IV |
Minimization of the moyamoya (disappearance of the posterior cerebral artery, and narrowing of individual moyamoya vessels) |
V |
Reduction of the moyamoya (disappearance of all the main cerebral arteries arising from the internal carotid artery system, further minimization of the moyamoya vessels, and an increase in the collateral pathways from the external carotid artery system) |
VI |
Disappearance of the moyamoya (disappearance of the moyamoya vessels, with cerebral blood flow derived only from the external carotid artery and the vertebrobasilar artery systems) |