[Discussion of the manuscript Combined double-barrel direct and indirect bilateral cerebral revascularization in the treatment of moyamoya disease. Discussion and literature review].

First of all, I would like to thank my colleagues for their interest in this article [1] and note the relevance of the problem of surgical treatment of moyamoya disease, which provoked this discussion. Moyamoya disease is a rare, atypical pathology for our country, the diagnosis and treatment of which is controversial among specialists, and the lack of agreed protocols is the cause of differences in the interpretation of the results of surgical treatment of such patients.