| Focal hyperperfusion after superficial temporal artery-middle cerebral artery anastomosis in a patient with moyamoya disease. Case report. | |
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MedLine Citation:
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PMID: 14743925 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis is a standard surgical therapeutic option in patients with moyamoya disease. Most patients experience improvement in their clinical symptoms immediately after surgery. The authors report on the case of a 39-year-old man with moyamoya disease who suffered from temporary and frequent neurological deterioration after undergoing a left STA-MCA anastomosis. Hemodilution and hypervolemia therapies did not improve his course. Technetium-99m hexamethylpropyleneamine oxime single-photon emission tomography scans demonstrated focal intense accumulation of the tracer in the frontal operculum on the side of the surgery. Although diffusion-weighted magnetic resonance (MR) imaging demonstrated no abnormalities except for the postoperative change, perfusion-weighted MR images and MR digital subtraction angiography revealed focal hyperperfusion in the left frontal operculum where the cerebral perfusion reserve was severely disturbed preoperatively. This evidence strongly supports the notion that focal hyperperfusion observed after STA-MCA anastomosis could occur in the poor perfusion reserve area preoperatively and could cause temporary neurological deterioration. |
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Authors:
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Kazuhide Furuya; Nobutaka Kawahara; Akio Morita; Toshimitsu Momose; Shigeki Aoki; Takaaki Kirino |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 100 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 2004 Jan |
Date Detail:
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Created Date: 2004-01-27 Completed Date: 2004-02-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: United States |
Other Details:
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Languages: eng Pagination: 128-32 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, University of Tokyo Hospital, Tokyo, Japan. furuya-nsu@umin.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cerebrovascular Circulation Frontal Lobe / blood supply Humans Magnetic Resonance Imaging Male Middle Cerebral Artery / pathology*, radionuclide imaging Moyamoya Disease / pathology*, physiopathology, radionuclide imaging Temporal Arteries / pathology*, radionuclide imaging Tomography, Emission-Computed, Single-Photon |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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