Long-term outcome in children with moyamoya syndrome after cranial revascularization by pial synangiosis

Scott, R. Michael; Smith, Jodi L.; Robertson, Richard L.; Madsen, Joseph R.; Soriano, Sulpicio G.; Rockoff, Mark A.

doi:10.3171/ped.2004.100.2.0142

Cited by 369 publications

(482 citation statements)

References 26 publications

Supporting

Mentioning

451

Contrasting

Unclassified

Order By: Relevance

“…[10,31] This report is congruent with previous observations that early postoperative neurological deficits usually resolve within 7 days, while irreversible cerebral infarction may persist in some patients with or without neurological deficits. [12] The incidence of transient neurological events varies among different reports, and it seems that studies from Asian countries showed a higher rate of postoperative stroke than those from America.…”

Section: Discussionsupporting

confidence: 81%

Cerebral ischemia at early postoperative period of direct revascularization for moyamoya disease: a case report and literature review

Chen¹,

Ma²,

Chen³

et al. 2017

View full text Add to dashboard Cite

Hypoperfusion and hyperperfusion could be causes of early postoperative complications that lead to neurological deterioration in patients with moyamoya diseases (MMD) after superficial temporal artery (STA) and middle cerebral artery (MCA) anastomosis. Here, the authors described a case of child-onset bilateral MMD that manifested transient cerebral ischemia in the contralateral hemisphere after left STA-MCA bypass in young adulthood. A new onset of cerebral ischemia in the contralateral hemisphere and transient neurological deterioration suggested the fragile hemodynamics of MMD during early perioperative period. Serial evaluation of postoperative cerebral hemodynamics and perfusion might facilitate targeted management in patients with unstable or advanced MMD. Topic: StrokeThis is an open access article distributed under the terms of the Creative Commons AttributionNonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

show abstract

Section: Discussionsupporting

confidence: 81%

Cerebral ischemia at early postoperative period of direct revascularization for moyamoya disease: a case report and literature review

Chen¹,

Ma²,

Chen³

et al. 2017

View full text Add to dashboard Cite

show abstract

“…4,6,[8][9][10]14) CBF studies have been performed in 11 moyamoya disease patients with chorea including the present case (Table 1). 2,[4][5][6][8][9][10]17,18) Even if MR imaging showed no damage of the basal ganglia, basal blood flow reduction or decreased vascular reserve in basal ganglia was noted in almost all cases.…”

Section: Discussionmentioning

confidence: 99%

Dramatic Disappearance of Moyamoya Disease-Induced Chorea After Indirect Bypass Surgery -Case Report-

Kamijo

Matsui

2008

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

A 31-year-old woman with moyamoya disease presented with choreiform movements persisting for 4.5 years. Magnetic resonance imaging showed a fine vascular plexus in the base of the brain but no parenchymal brain damage. Cerebral angiography revealed intracranial vascular abnormalities compatible with moyamoya disease. Single photon emission computed tomography with N-isopropyl-p-123 I-iodoamphetamine showed definite reduction of the regional cerebral blood flow (rCBF) in the bilateral striata and frontotemporoparietal cortex. rCBF study with acetazolamide administration indicated marked decrease of rCBF reserve in those regions. She underwent indirect bypass surgery (encephalo-duro-arterio-myo-synangiosis) under a diagnosis of moyamoya disease. The choreic involuntary movements disappeared shortly after surgery. Postoperative angiography showed neovascularization in the extracranial to intracranial direction, associated with dramatic increase in rCBF in the involved regions.

show abstract

“…It was revealed that the quasi-MMD is a rare disease. It is reported that the ratio of quasi-MMD is higher in western country [11]. Regarding with clinical manifestation of MMD, it is well known that the pediatric patients present with ischemic attack and adult patients tend to suffer from intracranial hemorrhage [12,13].…”

Section: Discussionmentioning

confidence: 99%

A Case of Neurofibromatosis Type 1 Complicated with Repeated Intracerebral Hemorrhage due to Quasi-Moyamoya Disease

Hayashi

Morofuji

Horie

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

Long-term outcome in children with moyamoya syndrome after cranial revascularization by pial synangiosis

Abstract: Following pial synangiosis, the majority of pediatric patients with moyamoya syndrome stop having strokes and TIAs, and they appear to experience an excellent long-term prognosis.

Cited by 369 publications

References 26 publications

Cerebral ischemia at early postoperative period of direct revascularization for moyamoya disease: a case report and literature review

Cerebral ischemia at early postoperative period of direct revascularization for moyamoya disease: a case report and literature review

Dramatic Disappearance of Moyamoya Disease-Induced Chorea After Indirect Bypass Surgery -Case Report-

A Case of Neurofibromatosis Type 1 Complicated with Repeated Intracerebral Hemorrhage due to Quasi-Moyamoya Disease

Contact Info

Product

Resources

About