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Related Experiment Videos

Revascularization surgery for moyamoya disease.

Y Nakagawa1, H Abe, Y Sawamura

  • 1Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.

Neurological Research
|March 1, 1988
PubMed
Summary

Moyamoya disease, a condition causing blocked arteries in the brain, requires surgical consideration. This study reviews surgical outcomes and introduces a new technique, EMAS, for treating this rare cerebrovascular disorder.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Vascular Medicine

Background:

  • Moyamoya disease involves chronic occlusion of the circle of Willis, leading to characteristic "puff of smoke" angiographic findings.
  • It is notably prevalent in Japanese populations and presents challenges in surgical indication and method selection, especially for hemorrhagic cases.

Purpose of the Study:

  • To present overall surgical results for Moyamoya disease.
  • To introduce a novel surgical technique, the Encephalomyosynangiosis with Anastomosis of Superficial temporal artery (EMAS), developed by Y. Nakagawa.
  • To discuss surgical interventions for patients experiencing hemorrhagic attacks.

Main Methods:

  • Review of overall surgical outcomes in Moyamoya disease patients.
  • Description and application of the newly devised EMAS surgical procedure.

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  • Analysis of surgical strategies for Moyamoya disease patients with a history of hemorrhage.

    • Main Results:

    • The paper details the authors' surgical results for Moyamoya disease.
    • The efficacy and application of the EMAS procedure are discussed.
    • Outcomes of surgical intervention for hemorrhagic Moyamoya disease are presented.

    Conclusions:

    • Surgical intervention is a key management strategy for Moyamoya disease.
    • The EMAS procedure offers a new option for surgical treatment.
    • Further consensus is needed on surgical indications and methods, particularly for hemorrhagic presentations.