Document Detail


Steal phenomenon through the anterior communicating artery in Moyamoya disease.
MedLine Citation:
PMID:  16721553     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Branch occlusion of the anterior cerebral artery (ACA) is regarded as a part of Moyamoya disease. The purpose of this study is to define the ACA steal phenomenon (SP) in Moyamoya disease and to evaluate temoporal changes according to the disease progression. From 139 Moyamoya patients we defined ACASP as narrowing of the ipsilateral A1-2 junction while preserving the anterior communicating artery and supplying the contralateral ACA cortical branches with the development of leptomeningeal collaterals by the ipsilateral middle cerebral artery into the hypoperfused ipsilateral ACA territory. Direction of the steal related to the stage in both hemispheres by Suzuki classification was statistically analyzed using the binomial test based on binomial distribution. Follow-ups of ACASP were evaluated in five patients. We identified ACASP in 13 (9%) patients (male:female=7:6, mean age 18 years, range: 2-58 years) of the 139 study patients. The presenting pattern was ischemic in 12 and hemorrhagic in one. The direction of SP occurred from the hemisphere in the lower to the higher stage of Suzuki classification (two-tail P value=0.0002). After revascularization surgery, ACASP disappeared or diminished. ACASP may occur in bilaterally different stages of Moyamoya disease as a transient self-adaptive process. It regresses after revascularization surgery.
Authors:
Soo Mee Lim; Eun Jin Chae; Min Yeong Kim; Jae Kyun Kim; Sang Joon Kim; Choong Gon Choi; Jae Sung Ahn; Young-Shin Ra; Jong-Uk Kim; Kyung Don Hahm; Hae Wook Pyun; Dae Chul Suh
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Publication Detail:
Type:  Journal Article     Date:  2006-05-24
Journal Detail:
Title:  European radiology     Volume:  17     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-09     Completed Date:  2007-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  61-6     Citation Subset:  IM    
Affiliation:
Department of Radiology, Mok-dong Hospital, College of Medicine, Ewha Womans University, 911-1 Mok-dong, Yangcheon-gu, Seoul, 158-710, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anterior Cerebral Artery*
Arterial Occlusive Diseases / complications*,  diagnosis
Child
Child, Preschool
Female
Humans
Male
Middle Aged
Moyamoya Disease / complications*,  diagnosis
Prospective Studies

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