Ten-year experience of 44 patients with moyamoya disease from a single institution

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Anil Kumar GargBhawani Shankar Sharma

Abstract

We analyzed the records of 44 patients with moyamoya disease evaluated and treated at our Institute from 1998 until 2007. Out of 44 patients, 18 (41%) were in the paediatric age group and 26 (59%) were adults. Presentation was ischemic in 14 (32%) and hemorrhagic in 30 patients (68%). Revascularization was performed in 11 patients (five patients with ischemic presentation and six with hemorrhagic presentation): nine patients underwent indirect revascularization procedures only and two patients underwent indirect revascularization procedures and a combined superficial temporal artery-middle cerebral artery bypass. Thirty-six patients (81.8%) were available for follow-up. Out of 11 patients who underwent revascularization procedures, none had further hemorrhagic or ischemic episodes. Out of the 19 conservatively managed patients who were followed-up, seven (36.8%) developed new episodes of ischemia (n=2) or hemorrhage (n=5). In-hospital mortality was 6.8% (three patients), all of whom were in the hemorrhagic presentation group.

References

Jan 1, 1977·Neurologia Medico-chirurgica·J KarasawaY Yoshida
Mar 1, 1979·Stroke; a Journal of Cerebral Circulation·H P AdamsC G Drake
Apr 1, 1978·Journal of Neurosurgery·N Kodama, J Suzuki
Sep 1, 1968·Journal of Neurosurgery·A Nishimoto, S Takeuchi
Jan 1, 1983·Stroke; a Journal of Cerebral Circulation·J Suzuki, N Kodama
Jun 1, 1994·AJR. American Journal of Roentgenology·K D Hopper
Mar 1, 1993·Radiographics : a Review Publication of the Radiological Society of North America, Inc·J M DrewG T Chua
Mar 1, 1996·Journal of Neurosurgery·T KawaguchiN Tamaki
Feb 1, 1997·Surgical Neurology·M Fukui
Dec 31, 1997·Stroke; a Journal of Cerebral Circulation·K IkezakiM Fukui
Jul 11, 1998·Stroke; a Journal of Cerebral Circulation·D ChiuJ C Grotta
Sep 24, 2005·Stroke; a Journal of Cerebral Circulation·Satoshi KurodaYoshinobu Iwasaki

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Citations

Jun 3, 2011·Neurosurgical Focus·David G WeinbergBernard R Bendok
May 19, 2012·BMJ Case Reports·Makardhwaj Sarvadaman ShrivastavaNalin Nag
Jan 18, 2011·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Wenhua LiuXinfeng Liu
Oct 2, 2015·Asian Journal of Neurosurgery·Siddhartha Shankar SahooBhawani Shankar Sharma
Dec 3, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Cong HanLian Duan
Oct 25, 2011·Stroke; a Journal of Cerebral Circulation·Lian DuanJie Feng
Apr 21, 2020·British Journal of Neurosurgery·Zhongzhong JiangMengqiang Yu

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