Perioperative management of cerebral revascularization of moyamoya disease
10.3969/j.issn.1005-6483.2023.11.029
- VernacularTitle:烟雾病脑血管重建术围手术期管理
- Author:
Guo ZHANG
1
;
Xiaohong QIN
;
Jin CHENG
;
Rui DING
;
Wenfei ZHANG
;
Liquan WU
;
Zhibiao CHEN
Author Information
1. 430060 武汉大学人民医院神经外科
- Keywords:
moyamoya disease;
cerebrovascular reconstruction;
cerebral hyperperfusion syndrome;
perioperative management
- From:
Journal of Clinical Surgery
2023;31(11):1104-1106
- CountryChina
- Language:Chinese
-
Abstract:
Moyamoya disease(MMD)is a bilateral stenosis occlusional disease that selectively affects the superior segment of clinoid of the internal carotid artery with secondary abnormal vascular network formation at the base of the skull.Intracranial and extracranial vascular reconstruction is the main treatment of moyamoya disease.However,moyamoya disease revasectomy still faces many challenges,with high requirements of surgical techniques and high risk of complications.In this paper,the perioperative management of cerebrovascular reconstruction in moyamoya disease was discussed in terms of surgical indications,surgical timing,patient management,surgical methods of cerebrovascular reconstruction and postoperative complications,so as to provide reference for improving the prognosis of patients.