Document Detail

Meningeal management for optimal revascularization from middle meningeal artery.
MedLine Citation:
PMID:  23101445     Owner:  NLM     Status:  Publisher    
Numerous surgical techniques have been developed and refined for the treatment of moyamoya disease. Among the indirect techniques of revascularization, encephaloduroarteriosynangiosis has been recognized as effective in promoting revascularization and reversing symptomatology. Neovascularization occurs between the donor artery, either the superficial temporal artery or the occipital artery, and the underlying ischemic cortex. Additionally, the middle meningeal artery and its dural branches have also been shown to contribute to collateral blood supply. In this report the authors describe an integrated management of the meninges for optimal revascularization. They emphasize the importance of recognizing the 3 major layers of the dura and describe a technique of dural splitting at the locus minoris resistentiae between the dura mater's vascular (middle) layer and internal median layer. Applying the dura's vascular layer to the surface of the brain after opening of the arachnoid is designed to optimize dural-pial synangiosis related to middle meningeal artery branches.
Nancy McLaughlin; Neil A Martin
Related Documents :
16229795 - Rare forms of peripheral arterial embolism: review of 11 cases.
24951765 - Inflammation and immunity in the pathogenesis of pulmonary arterial hypertension.
24616585 - Intimal hyperplasia in loop-injured carotid arteries is attenuated in transglutaminase ...
25041715 - Unusual conduction disorder: left posterior fascicular block + left septal fascicular b...
15961145 - Study of lymphatic mapping and sentinel node identification in early stage cervical can...
2294895 - Migraine with vasospasm and delayed intracerebral hemorrhage.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-26
Journal Detail:
Title:  Journal of neurosurgery     Volume:  -     ISSN:  1933-0693     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Neurosurgery, David Geffen School of Medicine at UCLA, Los Angeles, California.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Role of resection of malignant peripheral nerve sheath tumors in patients with neurofibromatosis Typ...
Next Document:  Long-term hearing outcomes following stereotactic radiosurgery for vestibular schwannoma: patterns o...