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Titolo:
Effects of surgical revascularization on peripheral artery aneurysms in Moyamoya disease: Report of three cases
Autore:
Kuroda, S; Houkin, K; Kamiyama, H; Abe, H;
Indirizzi:
Hokkaido Univ, Grad Sch Med, Dept Neurosurg, Kita Ku, Sapporo, Hokkaido 0608638, Japan Hokkaido Univ Sapporo Hokkaido Japan 0608638 oro, Hokkaido 0608638, Japan
Titolo Testata:
NEUROSURGERY
fascicolo: 2, volume: 49, anno: 2001,
pagine: 463 - 467
SICI:
0148-396X(200108)49:2<463:EOSROP>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAVENTRICULAR HEMORRHAGE; CHOROIDAL ARTERY; ADULT PATIENTS; RUPTURE;
Keywords:
Moyamoya disease; peripheral artery aneurysm; superficial temporal artery-middle cerebral artery anastomosis; surgical revascularization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Kuroda, S Hokkaido Univ, Grad Sch Med, Dept Neurosurg, Kita Ku, North 15 West 7, Sapporo, Hokkaido 0608638, Japan Hokkaido Univ North 15 West 7 Sapporo Hokkaido Japan 0608638 pan
Citazione:
S. Kuroda et al., "Effects of surgical revascularization on peripheral artery aneurysms in Moyamoya disease: Report of three cases", NEUROSURGER, 49(2), 2001, pp. 463-467

Abstract

OBJECTIVE AND IMPORTANCE: The beneficial effects of surgical revascularization on rebleeding in moyamoya disease remain unclear. This report is intended to clarify the effects of surgical revascularization on peripheral artery aneurysms, which represent one of the causes of intracranial bleeding inmoyamoya disease. CLINICAL PRESENTATION: Findings for three female patients who experienced intracranial bleeding are presented. Cerebral angiography revealed that intracranial bleeding resulted from the rupture of peripheral artery aneurysmsarising from dilated collateral vessels such as the lenticulostriate artery. INTERVENTION: The patients successfully underwent superficial temporal artery-middle cerebral artery anastomosis combined with encephaloduromyoarteriosynangiosis. Angiography demonstrated obliteration of the peripheral artery aneurysms, together with the disappearance or decrease in caliber of the parent collateral arteries, after surgery. None of the patients experiencedrebleeding during the follow-up period (up to 52 mo). CONCLUSION: The results strongly suggest that surgical revascularization potentially improves cerebral circulation and decreases hemodynamic stress on collateral vessels, obliterating peripheral artery aneurysms.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/11/20 alle ore 13:39:05