Indirect revascularization surgery for moyamoya disease in children and its special considerations
Moyamoya disease (MMD) is the most common pediatric cerebrovascular disease in Far Eastern countries. In children, MMD frequently manifests as ischemic symptomatology. Cerebral perfusion gradually decreases as the disease progresses, which often leads to cerebral infarction. The benefits of revascul...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Korean Pediatric Society
2012-11-01
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| Series: | Korean Journal of Pediatrics |
| Subjects: | |
| Online Access: | http://kjp.or.kr/upload/pdf/kjped-55-408.pdf |
| _version_ | 1818039585043644416 |
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| author | Kyu-Chang Wang Ji Hoon Phi Ji Yeoun Lee Seung-Ki Kim Byung-Kyu Cho |
| author_facet | Kyu-Chang Wang Ji Hoon Phi Ji Yeoun Lee Seung-Ki Kim Byung-Kyu Cho |
| author_sort | Kyu-Chang Wang |
| collection | DOAJ |
| description | Moyamoya disease (MMD) is the most common pediatric cerebrovascular disease in Far Eastern countries. In children, MMD frequently manifests as ischemic symptomatology. Cerebral perfusion gradually decreases as the disease progresses, which often leads to cerebral infarction. The benefits of revascularization surgery, whether direct or indirect, have been well established in MMD patients with ischemic symptoms. In adults, the increase in cerebral blood flow achieved with indirect revascularization is often unsatisfactory, and direct revascularization is usually feasible. In children, however, direct revascularization is frequently technically not feasible, whereas the response to indirect revascularization is excellent, although 1 or 2 weeks are required for stabilization of symptoms. The authors describe surgical procedures and perioperative care in indirect revascularization for MMD. In addition, special considerations with regard to very young patients, patients with recent cerebral infarction, and patients with hyperthyroidism are discussed. |
| first_indexed | 2024-12-10T08:00:58Z |
| format | Article |
| id | doaj.art-7941035baac84d2f83dead6d5c671662 |
| institution | Directory Open Access Journal |
| issn | 1738-1061 2092-7258 |
| language | English |
| last_indexed | 2024-12-10T08:00:58Z |
| publishDate | 2012-11-01 |
| publisher | Korean Pediatric Society |
| record_format | Article |
| series | Korean Journal of Pediatrics |
| spelling | doaj.art-7941035baac84d2f83dead6d5c6716622022-12-22T01:56:48ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582012-11-01551140841310.3345/kjp.2012.55.11.4082012600034Indirect revascularization surgery for moyamoya disease in children and its special considerationsKyu-Chang Wang0Ji Hoon Phi1Ji Yeoun Lee2Seung-Ki Kim3Byung-Kyu Cho4Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.Division of Pediatric Neurosurgery, Department of Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.Moyamoya disease (MMD) is the most common pediatric cerebrovascular disease in Far Eastern countries. In children, MMD frequently manifests as ischemic symptomatology. Cerebral perfusion gradually decreases as the disease progresses, which often leads to cerebral infarction. The benefits of revascularization surgery, whether direct or indirect, have been well established in MMD patients with ischemic symptoms. In adults, the increase in cerebral blood flow achieved with indirect revascularization is often unsatisfactory, and direct revascularization is usually feasible. In children, however, direct revascularization is frequently technically not feasible, whereas the response to indirect revascularization is excellent, although 1 or 2 weeks are required for stabilization of symptoms. The authors describe surgical procedures and perioperative care in indirect revascularization for MMD. In addition, special considerations with regard to very young patients, patients with recent cerebral infarction, and patients with hyperthyroidism are discussed.http://kjp.or.kr/upload/pdf/kjped-55-408.pdfMoyamoya diseaseChildSurgery |
| spellingShingle | Kyu-Chang Wang Ji Hoon Phi Ji Yeoun Lee Seung-Ki Kim Byung-Kyu Cho Indirect revascularization surgery for moyamoya disease in children and its special considerations Korean Journal of Pediatrics Moyamoya disease Child Surgery |
| title | Indirect revascularization surgery for moyamoya disease in children and its special considerations |
| title_full | Indirect revascularization surgery for moyamoya disease in children and its special considerations |
| title_fullStr | Indirect revascularization surgery for moyamoya disease in children and its special considerations |
| title_full_unstemmed | Indirect revascularization surgery for moyamoya disease in children and its special considerations |
| title_short | Indirect revascularization surgery for moyamoya disease in children and its special considerations |
| title_sort | indirect revascularization surgery for moyamoya disease in children and its special considerations |
| topic | Moyamoya disease Child Surgery |
| url | http://kjp.or.kr/upload/pdf/kjped-55-408.pdf |
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