いわゆる Moyamoya 病の外科的治療

概要

論文の詳細を見る
Twelve Patients of so-called moyamoya disease were treated surgically. The surgical procedure were STA-MCA bypass, encephalo-myo-synangiosis (EMS) and omentum transplantation. Eighteen operations were carried out. The follow-up period ranged seven months to four years. The results were as follows; one complete recovery from neurological deficit, three improvement, four unchanged and two worse. Disappearance of TIA were observed three out of fifteen. Decrease of TIA were observed three out of fifteen. Overall results suggest that the surgical treatment of so-called moyamoya disease is promising. Very low cortical arterial pressure of the moyamoya disease suggests the importance of performing multiple anastomosis combined with EMS or omentum transplantation. Also surgery should not be indicated when the patient is in the acute infarction. This may be avoided by frequent examination by CAT.
The Japanese Society on Surgery for Cerebral Strokeの論文