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Journal of Korean Neurosurgical Society 1993;22(1): 100-108.
Clinical Analysis of Surgically Treated Moyamoya Diseases.
Young Ki Kim, Eui Joong Yang, Suk Jung Jang
Department of Neurosurgery, College of Medicine, Chosun University, Kwangju, Korea.
Moyamoya disease is a progressive occlusive cerebrovascular disease that can cause severe permanent disability. To minimize the ischemic deficit, various surgical methods have been tried. Six cases treated surgically are presented, 10 sides with encephaloarteriosynangiosis and 1 side with superficial temporal-middle cerebral artery anastomosis and encephalomyosynangiosis. Among these six cases, three cases were associated with intracerebral and intraventricular hemorrhage, and two cases were associated with intracerebral and intraventricular hemorrhage and demonstrable aneurysm, and the other was associated with cerebral infarction. All patient were reviewed and had not ischemic deficit or rebleeding during the follow-up period. The patient's clinical status and results are presented and literatures that have been reported are reviewed.
Key Words: Moyamoya disease; Ischemic deficit; Intracranial hemorrhage; Encephaloarteriosynangiosis; Superficial temporal-middle cerebral artery anastomosis
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