Risk factors for neurologic deterioration after revascularization surgery in patients with moyamoya disease

Anesthesia and Analgesia
T SakamotoJ Karasawa


To investigate the risk factors for postoperative neurological deterioration in patients with moyamoya disease, we retrospectively reviewed the perioperative course of 368 cases of revascularization surgery in 216 patients with this disease. Risk factors anecdotally associated with postoperative ischemic events were analyzed by comparing groups with or without a history of such events on the operative day. Ischemic events were noted in 14 cases (3.8%), 4 of which were defined as strokes and the others as transient ischemic attack (TIA). Postoperative neurological deterioration more often developed in patients who suffered from frequent TIAs, had precipitating factors for TIA, and underwent indirect nonanastomotic revascularization. The authors conclude that the incidence of postoperative ischemic events were related more to the severity of moyamoya disease and the type of surgical procedure than to other factors, including anesthetic management. Although preventing stroke is the major concern for patients with moyamoya disease, risk factors for perioperative cerebral ischemia have not been clarified. We retrospectively analyzed the perioperative course in 368 cases with this disease and found that the severity of the disease an...Continue Reading


Nov 1, 1978·Journal of Neurosurgery·J KarasawaT Sakaki
Jan 1, 1990·Brain & Development·Y MatsushimaK Ohno
Feb 1, 1990·Anaesthesia and Intensive Care·R ChadhaV Padmanabhan
Jul 1, 1989·Journal of Neurology, Neurosurgery, and Psychiatry·P Sandercock
Jan 19, 1985·Lancet·M J McLeanG W Goldstein
Jan 1, 1987·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S C Brown, A M Lam
Oct 1, 1988·Neurology·T K TatemichiL Jarvis
May 1, 1987·Journal of Neurosurgery·M V OldsH Schutz
Sep 1, 1987·Stroke; a Journal of Cerebral Circulation·T TagawaT Sawada
Dec 1, 1985·Anaesthesia·R M Bingham, D J Wilkinson
Feb 1, 1983·Anesthesiology·K Sumikawa, H Nagai
Jan 1, 1983·Stroke; a Journal of Cerebral Circulation·J Suzuki, N Kodama
Nov 1, 1993·Anesthesia and Analgesia·S G SorianoR M Scott
Aug 1, 1993·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K KureharaT Okuda
Jun 1, 1989·Journal of Neurosurgical Anesthesiology·R A Malley, E A Frost

❮ Previous
Next ❯


May 9, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Miki FujimuraTeiji Tominaga
May 26, 2004·Annales Françaises D'anesthèsie Et De Rèanimation·H JabbourM-C Antakly
Oct 5, 2010·Neurologia Medico-chirurgica·Jun C Takahashi, Susumu Miyamoto
Oct 7, 2010·Journal of Neurosurgical Anesthesiology·Tariq ParraySaif Siddiqui
Dec 17, 2015·Journal of the Neurological Sciences·Hyun Jin NohGyeong-Moon Kim
Sep 1, 2004·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Satoyuki ItoIsamu Saito
Nov 29, 2016·World Neurosurgery·Richard W WilliamsonJohn E Wanebo
Apr 2, 2009·Neurosurgical Focus·Ali A BaajHarry van Loveren
Apr 2, 2009·Neurosurgical Focus·Jodi L Smith
Jul 2, 2008·Journal of Neurosurgery. Pediatrics·Hyun Joo AhnSoo Joo Choi
May 26, 2009·Journal of Neurosurgery·Raphael GuzmanGary K Steinberg
Jun 3, 2011·Neurosurgical Focus·David G WeinbergBernard R Bendok
Apr 6, 2017·World Neurosurgery·Rami James N AounBernard R Bendok
Jan 18, 2006·Paediatric Anaesthesia·Balachundhar SubramaniamBarry D Kussman
Jan 25, 2006·Paediatric Anaesthesia·Reena K JoshiEmad Mossad

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.