Document Detail


Direct and indirect revascularization for moyamoya disease surgical techniques and peri-operative complications.
MedLine Citation:
PMID:  9409425     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We have performed surgical treatment for Moyamoya disease using the superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis and encephalo-duro-arterio-myo-synangiosis (EDAMS). In this paper, the surgical technique of combined revascularization for Moyamoya disease as well as peri-operative complications are discussed. Craniotomy and dural opening were extensively carried out to expose the brain surface as widely as possible. Dissection of the STA, which is the most powerful resource of direct revascularization, should be carefully carried out using a surgical microscope. The temporal muscle and middle meningeal artery, which have the most potential as sources of indirect revascularization, must be preserved. STA-MCA anastomosis to the frontal branch of the middle cerebral artery is indispensable for improving cerebral circulation of the frontal lobe. A small arachnoid membrane opening and water-tight closure are also important to avoid post-operative subdural and subcutaneous fluid collection. Ischemic events disappeared immediately after surgery in most cases. However, in several cases, transient ischemic attacks recurred for several months after the surgery. Chronic subdural hematoma was seen in two cases.
Authors:
K Houkin; T Ishikawa; T Yoshimoto; H Abe
Related Documents :
11563745 - Posttraumatic thrombosis of the middle cerebral artery.
1179255 - The moyamoya syndrome and the neurosurgeon.
6462985 - Cerebral arterial occlusion and intracranial venous thrombosis in a woman taking oral c...
8747955 - Revascularization and aneurysm surgery: current techniques, indications, and outcome.
2794145 - Morphological changes of the aorta and pulmonary artery in thoroughbred racehorses.
1436465 - Ascending pharyngeal artery-internal jugular vein fistula complicating radical neck dis...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  99 Suppl 2     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1998-02-18     Completed Date:  1998-02-18     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  S142-5     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Carotid Arteries / radiography,  surgery
Cerebral Angiography
Cerebral Revascularization*
Child
Child, Preschool
Hematoma, Subdural / etiology
Humans
Moyamoya Disease / surgery*
Necrosis
Postoperative Complications* / prevention & control
Seizures / etiology
Skin / pathology

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


Previous Document:  Combined direct and indirect reconstructive vascular surgery on the fronto-parieto-occipital region ...
Next Document:  Long-term intelligence outcome of post-encephalo-duro-arterio-synangiosis childhood moyamoya patient...