Document Detail

Peri-operative complications in adult moyamoya disease.
MedLine Citation:
PMID:  7754856     Owner:  NLM     Status:  MEDLINE    
The incidence and causes of peri-operative haemodynamic complications in adult Moyamoya disease were examined by reviewing 55 surgically treated adult patients. Ninety-nine craniotomies were performed in these patients, and eight peri-operative complications (four infarctions, two haemorrhagic infarctions and two reversible ischaemic neurological deficits without a new lesion) were seen. All of the eight haemodynamic complications arose in the initially affected hemispheres regardless of the side of operation. Some nonsurgical haemodynamic risk factors, i.e., hypercapnia, hypocapnia and hypotension/hypovolaemia, were noted in all of the eight cases, although the statistical analysis could not clarify the relevance of such factors to peri-operative complications. Surgical factors which might be responsible for the complications were noted in three cases. Sparing vital collateral vessels and minimum brain retraction as well as avoidance of non-surgical haemodynamic risk factors are considered to be essential to prevent peri-operative haemodynamic brain damage in adult Moyamoya disease.
T Iwama; N Hashimoto; T Tsukahara; B Murai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  132     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  1995  
Date Detail:
Created Date:  1995-06-21     Completed Date:  1995-06-21     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  AUSTRIA    
Other Details:
Languages:  eng     Pagination:  26-31     Citation Subset:  IM    
Department of Neurosurgery, National Cardiovascular Centre, Osaka, Japan.
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MeSH Terms
Brain / blood supply
Brain Ischemia / etiology*,  physiopathology
Cerebral Angiography
Cerebral Hemorrhage / etiology*,  physiopathology
Cerebral Infarction / etiology*,  physiopathology
Hemodynamics / physiology*
Homeostasis / physiology
Ischemic Attack, Transient / etiology*,  physiopathology
Middle Aged
Moyamoya Disease / physiopathology,  surgery*
Neurologic Examination
Postoperative Complications / etiology*,  physiopathology
Regional Blood Flow / physiology
Tomography, X-Ray Computed

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