論文

査読有り
1998年10月

Direct anastomotic bypass for cerebrovascular moyamoya disease

NEUROLOGIA MEDICO-CHIRURGICA
  • S Miyamoto
  • ,
  • Nagata, I
  • ,
  • N Hashimoto
  • ,
  • H Kikuchi

38
SUPPL.
開始ページ
294
終了ページ
296
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.2176/nmc.38.suppl_294
出版者・発行元
JAPAN NEUROSURGICAL SOC

Therapeutic result and pitfalls in the surgical treatment of cerebrovascular moyamoya disease are evaluated. During the recent 15 years, 268 patients with moyamoya disease have been treated in our clinic. Among them, 238 patients showed ischemic symptoms. Superficial temporal artery to middle cerebral artery anastomoses combined with temporal muscle grafting (encephalo-myo-synangiosis) were performed for most of the cases. Complete remission and clinical improvement were obtained in 34.0% and 64.2% of the patients, respectively. Symptomatic aggravation due to ischemic complication followed the operation in five patients (1.9%). Normocapnic control during general anesthesia with sufficient hydration is essential to avoid perioperative ischemic complications. Omental graft was performed in 16 patients. In 13 patients, omental graft was performed for the progressing ischemia in the posterior cerebral artery or anterior cerebral artery distribution. In the other three patients, omental graft was used for marked brain atrophy.

リンク情報
DOI
https://doi.org/10.2176/nmc.38.suppl_294
CiNii Articles
http://ci.nii.ac.jp/naid/130000909640
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/10235022
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000078035900053&DestApp=WOS_CPL
ID情報
  • DOI : 10.2176/nmc.38.suppl_294
  • ISSN : 0387-2572
  • CiNii Articles ID : 130000909640
  • PubMed ID : 10235022
  • Web of Science ID : WOS:000078035900053

エクスポート
BibTeX RIS