Surgical techniques and the results of a fronto-temporo-parietal combined indirect bypass procedure for children with moyamoya disease: a comparison with the results of encephalo-duro-arterio-synangiosis alone

Clinical Neurology and Neurosurgery
T MatsushimaK Hasuo

Abstract

We recently treated children with Moyamoya disease using a fronto-temporo-parietal combined indirect bypass procedure. Three different indirect bypass procedures (frontal EMAS, EDAS, EMS) were simultaneously carried out at three different sites. We thus treated 16 sides in 12 pediatric patients with Moyamoya disease using this method. Both the collateral formation and the improvement in the clinical symptoms were evaluated postoperatively. These results were then compared with those of the patients treated by EDAS alone. The postoperative collateral formation was more extensively seen in the patients treated with the combined bypass procedure than in those treated by EDAS alone. The improvement in ischemic symptoms was also better in the patients treated by the combined indirect bypass procedure. We therefore conclude that the combined indirect bypass procedure is more effective than EDAS alone.

References

Jan 1, 1977·Neurologia Medico-chirurgica·J KarasawaY Yoshida
Nov 1, 1978·Journal of Neurosurgery·J KarasawaT Sakaki
Jan 1, 1990·Acta neurochirurgica·T MatsushimaK Hasuo
Jan 1, 1990·Acta neurochirurgica·T MatsushimaT Kurokawa
Jun 1, 1994·Surgical Neurology·K KinugasaT Ohmoto

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Citations

Dec 11, 2007·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Miki FujimuraTeiji Tominaga
May 12, 2011·Journal of Pediatric Neurosciences·Ravindranath KapuRavi Ramamurthi
Jun 13, 2012·Neurologia Medico-chirurgica·Toshio MatsushimaTooru Inoue
Jun 22, 2010·Neurosurgery Clinics of North America·Neil N PatelPaul Klimo
Jun 3, 2011·Neurosurgical Focus·David G WeinbergBernard R Bendok
Feb 16, 2008·Neurosurgical Focus·Anand VeeravaguGary K Steinberg
Apr 2, 2009·Neurosurgical Focus·Ali A BaajHarry van Loveren
Dec 23, 2006·Journal of Neurosurgery·Christian Sainte-RoseMarie Bourgeois
Dec 1, 2018·Journal of Neurosurgery·Kristine RavinaJonathan J Russin
Jul 17, 2015·Journal of Korean Neurosurgical Society·Kyu-Won ShimDong-Seok Kim
Jan 7, 2017·The Journal of Craniofacial Surgery·Lian LiuHong Yan Sun
May 16, 2020·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A A ShulginaI N Pronin
Apr 20, 2021·Journal of Neurosurgical Sciences·Sina FinkenstaedtGiuseppe Esposito

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