Document Detail


Adult-onset moyamoya disease with repetitive ischemic attacks successfully treated by superficial temporal-middle cerebral artery bypass--case report.
MedLine Citation:
PMID:  12699122     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 78-year-old Japanese woman presented with adult-onset moyamoya disease manifesting as repetitive ischemic attacks over a period of 26 years. Initial ischemic attack occurred at age 52 years. Neurological status deteriorated, associated with worsening in angiographical and single photon emission computed tomography findings over the last 10 years. She suffered frequent transient attacks of aphasia and right hemiparesis. Superficial temporal-middle cerebral artery anastomosis was performed. Postoperative angiography and single photon emission computed tomography revealed a marked increase in cerebral blood flow and symptoms showed considerable improvement. Direct revascularization may be the treatment of choice even for aged patients with moyamoya disease.
Authors:
Soichi Oya; Kazuo Tsutsumi; Keisuke Ueki
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  43     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-04-17     Completed Date:  2003-04-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  138-41     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Aizu Chuou Hospital, Aizuwakamatsu, Fukushima, Japan. sooya-tky@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Cerebral Angiography
Cerebral Revascularization*
Female
Humans
Ischemic Attack, Transient / etiology*
Middle Cerebral Artery / surgery*
Moyamoya Disease / diagnosis,  etiology*,  surgery*
Tomography, Emission-Computed, Single-Photon
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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