| Peri-operative complications in adult moyamoya disease. | |
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MedLine Citation:
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PMID: 7754856 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T Iwama; N Hashimoto; T Tsukahara; B Murai |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Acta neurochirurgica Volume: 132 ISSN: 0001-6268 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 1995 |
Date Detail:
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Created Date: 1995-06-21 Completed Date: 1995-06-21 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: AUSTRIA |
Other Details:
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Languages: eng Pagination: 26-31 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, National Cardiovascular Centre, Osaka, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Brain / blood supply Brain Ischemia / etiology*, physiopathology Cerebral Angiography Cerebral Hemorrhage / etiology*, physiopathology Cerebral Infarction / etiology*, physiopathology Craniotomy Female Hemodynamics / physiology* Homeostasis / physiology Humans Ischemic Attack, Transient / etiology*, physiopathology Male Middle Aged Moyamoya Disease / physiopathology, surgery* Neurologic Examination Postoperative Complications / etiology*, physiopathology Regional Blood Flow / physiology Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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