Surgical revascularisation for childhood moyamoya.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
J NgVijeya Ganesan

Abstract

Children with moyamoya disease/syndrome (MM) have a high rate of recurrent arterial ischaemic stroke (AIS) and associated neurological morbidity; surgical revascularisation (SR) has the potential to prevent this. Here we describe our experience of SR for childhood mm. This study is a retrospective review of case notes and radiology of children with moyamoya who underwent SR at our centre. Seventy-three children with MM and who had SR were identified, with median age at presentation of 4.75 years (range 0.6-14.5). Children with >1 AIS or transient ischaemic attack (TIA) and who had not infarcted the whole territory of the diseased carotid artery were offered SR, with the primary aim of preventing further AIS. One hundred and thirty-four SR procedures were undertaken: 82 indirect (62.4 %) and 49 (37.6 %) direct procedures with 3 second SR procedures following initial SR. Median age at surgery was 7.3 (1-18.2) years. There was no perioperative mortality. One anticoagulated child developed an intracranial haemorrhage on the fifth post-operative day. Median duration of follow-up was 34 (5-166) months. Three children (4.1 %) had recurrent AIS (one silent) after SR; two with sickle cell disease had intracranial haemorrhage 1.5 and 11 ...Continue Reading

References

Nov 1, 1996·Stroke; a Journal of Cerebral Circulation·S C CramerR M Scott
Dec 31, 1997·Clinical Neurology and Neurosurgery·K WakaiY Ohno
Dec 31, 1997·Clinical Neurology and Neurosurgery·H SakamotoA Hakuba
Jul 11, 1998·Stroke; a Journal of Cerebral Circulation·D ChiuJ C Grotta
Aug 31, 2001·Archives of Neurology·E Y YilmazJ Biller
Oct 29, 2003·Pediatric Neurology·Robert H FryerNeil A Feldstein
Feb 8, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Lai-Wah Eva FungVijeya Ganesan
Sep 28, 2005·Neurology·Ken UchinoDavid L Tirschwell
Oct 1, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Rina NanbaYoshinobu Iwasaki
Nov 1, 2005·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·B Darwish, M Besser
Mar 17, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Ken IkedaHidetoshi Ikeda
Nov 1, 2006·Circulation·Vijeya GanesanFenella J Kirkham
Mar 31, 2007·Stroke; a Journal of Cerebral Circulation·Satoshi KurodaUNKNOWN Research Committee on Moyamoya Disease in Japan
Mar 21, 2008·Journal of Neurosurgery. Pediatrics·Todd C HankinsonRichard C E Anderson
Apr 2, 2009·Neurosurgical Focus·Marco LeeGary K Steinberg
May 26, 2009·Journal of Neurosurgery·Raphael GuzmanGary K Steinberg
Jul 8, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·David M IbrahimiEdward S Ahn

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Citations

Jul 27, 2012·Brain : a Journal of Neurology·Pinki MunotVijeya Ganesan
Feb 18, 2016·Current Pain and Headache Reports·Angeliki VgontzasMatthew S Robbins
Oct 16, 2013·Thrombosis Research·Nongnuch Sirachainan
Dec 20, 2013·Journal of Neurointerventional Surgery·Matthew R AmansVan V Halbach
Feb 28, 2018·Neurology·Sara C Tho-CalviUNKNOWN British Paediatric Neurology Association Moyamoya Study group
Jun 8, 2017·Der Radiologe·S MeyerU Yilmaz
Jan 29, 2019·Stroke; a Journal of Cerebral Circulation·Donna M FerrieroUNKNOWN American Heart Association Stroke Council and Council on Cardiovascular and Stroke Nursing

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