The clinical effect of superficial temporal artery-middle cerebral artery bypass combining with en-cephalo-duroarterio-synangiosis in the treatment of moyamoya disease
10.3760/cma.j.issn.1008-1372.2017.12.025
- VernacularTitle:颞浅动脉-大脑中动脉搭桥联合脑-硬脑膜-肌肉血管融合术对烟雾病的临床疗效分析
- Author:
Guofu LI
1
;
Cong KANG
;
Yongkang ZHANG
;
Da MA
;
Qin HUANG
Author Information
1. 523325,广东省东莞市儿童医院神经外科
- Keywords:
Moyamoya disease/SU;
Cerebral revascularization;
Middle cerebral artery/SU;
Tem-poral arteries/SU
- From:
Journal of Chinese Physician
2017;19(12):1847-1849
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical curative effects of superficial temporal artery-middle cer-ebral artery bypass combining with encephalo-duroarterio-synangiosis( STA-MCA+EDMS) in the treatment of moyamoya disease. Methods Thirteen cases were confirmed to be moyamoya disease by digital subtrac-tion angiography ( DSA) , and treated with STA-MCA+EDMS methods. Four cases were ischemic, and the others were hemorrhagic in this group. Results The follow-up was 6-12 months. The clinical symptoms were improved significantly, without cerebral ischemic attack in 4 ischemic cases. Seven hemorrhagic cases got blood from the external carotid artery by means of vascular bypass or temporal muscle, and established effective collateral circulation half a year after operation. Two hemorrhagic cases bleed again in July after operation. However, the family gave up treatment. Ten cases were good, one case was moderate, while two cases got bad. The total effective rate was 76. 9％. Conclusions STA-MCA+EDMS can improve cerebral hemodynamics of moyamoya disease, improve quality of life, and reduce incidence of stroke.
