Document Detail

Anesthetic management of a patient with moyamoya disease: a case report.
MedLine Citation:
PMID:  8291389     Owner:  NLM     Status:  MEDLINE    
A previously healthy 4-year-old female presented with an 18-month history of frequent headaches and seizures. Magnetic resonance imaging (MRI) and angiography revealed severe stenosis of the left proximal intracranial carotid artery, with bilateral development of moyamoya vessels, left greater than right. A diagnosis of moyamoya disease was made, and the patient was scheduled for surgical correction consisting of an encephalo-duro-arterio-synangiosis. Moyamoya disease is a rare, occlusive cerebrovascular disorder characterized by bilateral stenosis of the internal carotid arteries and their branches. While its etiology is currently uncertain, recent studies indicate that focal arteritis, secondary to an antigen-antibody reaction, leads to the development of the stenosis. Anesthetic management of patients with moyamoya disease focuses on maintenance of adequate cerebral blood flow, normalization of intracranial pressure, and avoidance of both cerebral vasoconstriction and vasodilation. Several anesthetic techniques have been successfully employed; one such method is presented.
L A Petty
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  AANA journal     Volume:  61     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1994-02-24     Completed Date:  1994-02-24     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  277-81     Citation Subset:  N    
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MeSH Terms
Anesthesia, Inhalation*
Cerebrovascular Circulation
Child, Preschool
Intracranial Pressure
Moyamoya Disease / physiopathology,  surgery*

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