モヤモヤ病に対する手術適応

概要

論文の詳細を見る
Surgical treatments were performed on 10 cases with moyamoya disease. Superficial-temporal cerebral artery (STA-MCA) anastomosis was done for 3 children suffering from transient ischemic attacks (TIA's). All patients have become free from TIA's after surgery. STA-MCA anastomosis was also performed on 2 adult patients for prevention of re-bleeding and re-ischemic attack's. These patients were unchanged postoperatively. This anastomotic procedures is most effective for TIA's and may be effective for prevention of bleeding from moyamoya vessels. Two patients with subcortical hematoma were treated by craniotomy or trephination and had good result. Intracerebral hematoma which showed mass sign should be evacuated by small craniotomy not to injure collateral circulation. Ventricular drainage was performed in two hopeless cases and not effective for these patients. This procedure may be not so effective for infraventricular massive hemorrhage. A case of chronic subdural hematoma with moyamoya disease was treated by burr hole and irrigation.
The Japanese Society on Surgery for Cerebral Strokeの論文