Multiple Concurrent Anastomotic Procedures in the Management of Moyamoya Disease : A case report with review of literature

Hiroshima Journal of Medical Sciences 57 巻 1 号 47-51 頁 2008-03 発行

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タイトル ( eng )	Multiple Concurrent Anastomotic Procedures in the Management of Moyamoya Disease : A case report with review of literature
作成者	Shrestha Prabin Sakamoto Shigeyuki Ohba Shinji Shibukawa Masaaki Kiura Yoshihiro Okazaki Takahito Takeda Masaaki Sugiyama Kazuhiko Kurisu Kaoru
収録物名	Hiroshima Journal of Medical Sciences
巻	57
号	1
開始ページ	47
終了ページ	51
収録物識別子	[PISSN] 0018-2052 [EISSN] 2433-7668 [NCID] AA00664312
抄録	It has already been proved by many studies that surgical revascularization definitely helps in curing the symptoms of moyamoya vasculopathy. In this regard, we present a case of moyamoya disease which was cured by concurrent multiple anastomotic procedures, namely superficial temporal artery (STA), middle cerebral artery (MCA) anastomosis, encephalomyosynangiosis (EMS) and encephalogaleosynangiosis (EGS). A 24-year-old woman presented with symptoms of cerebral ischemia. Thorough investigation with MRA and MRI revealed moyamoya vasculopathy and was confirmed by cerebral angiogram. Multiple concurrent combined anastomotic procedures on both sides relieved the symptoms, which was also confirmed angiographically. A Combination of multiple direct and indirect procedures covers the whole ischemic cortical area and provides effective neovascularization.
著者キーワード	Moyamoya disease STA-MCA anastomosis EMS EGS
NDC分類	医学 [ 490 ]
言語	英語
資源タイプ	紀要論文
出版者	Hiroshima University Medical Press
発行日	2008-03
権利情報	(c) Hiroshima University Medical Press.
出版タイプ	Version of Record（出版社版。早期公開を含む）
アクセス権	オープンアクセス
収録物識別子	[ISSN] 0018-2052 [NCID] AA00664312