Treatment of Moya Moya disease using indirect surgery technique

Cezary Grochowski, Bartłomiej Kulesza, Dariusz Szczepanek

Abstract


Grochowski Cezary, Kulesza Bartłomiej, Szczepanek Dariusz. Treatment of Moya Moya disease using indirect surgery technique. Journal of Education, Health and Sport. 2016;6(8):236-240. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.60391

http://ojs.ukw.edu.pl/index.php/johs/article/view/3752

 

 

 

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).

755 Journal of Education, Health and Sport eISSN 2391-8306 7

© The Author (s) 2016;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,

provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License

(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial

use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 15.07.2016. Revised 25.07.2016. Accepted: 12.08.2016.

 

 

Treatment of Moya Moya disease using indirect surgery technique

 

Cezary Grochowski1, Bartłomiej Kulesza2, Dariusz Szczepanek2

 

1Internship in SPSK nr. 4 in Lublin

2Department of Neurosurgery, Medical University of Lublin

 

Abstract

 

Introduction: Moya Moya disease is a rare health condition with unknown etiology. Because of the pathological process in the patient vessels we can observe narrowing or occlusion of distal part of internal carotid artery and proximal part of anterior and medial cerebral artery, which is characteristic for this disease. The disease occurs most often among asian women and it usually affects patients in their first decade of life or 3-4 decade.

Case presentation: Four year old female suffered from headaches, dizziness as well as progressive paroxysmal hemiparesis and speech disorder. The symptoms were recurrent and lasted for two years. MRI and MRA were performed and revealed pathological changes in arteries of scull base and pathological collateral arteries, characteristic for moyamoya disease.

Surgical treatment: Multiple burr hole surgery was performed. Holes were made in the left fronto-temporo-parietal area, peritoneal straps were inserted into the subarachnoidal area in order to start revascularization process.

Conclusion: Presented technique is preferred among children suffering from moya moya disease because of the safety of the technique and good treatment effects. There is no need to perform by-pass surgery which is also considered as big advantage of presented technique.


Keywords


Moya-Moya disease; burr hole; multiple burr hole; indirect surgery.

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References


Suzuki J, Kodama N. Moyamoya Stroke 1983;14:104–109 disease — a review.

Nagaraja D, Verma A, Taly AB, Kumar MV, Jayakumar PN. Cerebrovascular disease in children. Acta Neurol Scand 1994;90:251–255.

Yilmaz EY, Pritz MB, Bruno A, Lopez-Yunez A, Biller J. Moyamoya: Indiana University Medical Center experience. Arch Neurol 2001;58:1274–1278.

Sainte-Rose C, Oliveira R, Puget S, Beni-Adani L, Boddaert N, Thorne J, Wray A, Zerah M, Bourgeois M: Multiple bur hole surgery for the treatment of moya-moya disease in children. J Neurosurg 2006 Dec;105(6 Suppl):437-43.

Endo M, Kawano N, Miyaska Y, Yada K: Cranial burr hole for revascularization in moyamoya disease. J Neurosurg 71:180-185, 1989.

Oliveira RS, Amato MC, Simao GN, Abud DG, Avidago EB, Specian CM, Machado HR: Effect of multiple cranial burr hole surgery on prevention of recurrent ischemic attacks in children with moya- moya disease. Neuropediatrics 40:260-264, 2009.




DOI: http://dx.doi.org/10.5281/zenodo.60391

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