Abstract
At present, encephaloduroarteriosynangiosis (EDAS) and encephalomyosynangiosis (EMS) are the treatments of choice for moyamoya disease in children, but no attempts have been made to determine which is the more effective procedure, for the ischemic lesions in moyamoya disease. Ten patients (seven children and three adults) underwent EDAS and/or EMS: three patients EDAS on both sides; seven patients EDAS on one side and EMS on the other. These ten patients were followed up with a neurological examination and r-CBF and angiographic studies. Postoperative angiograms and r-CBF studies demonstrated more revascularization from the external carotid artery in sides treated with EDAS than with sides treated with EMS. From these results, it is concluded that the EDAS surgical procedure is superior to that of EMS for moyamoya disease.
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Henschen C (1950) Operative Revascularization des zirkulatorisch geschädigten Gehirns durch Anlegen gestielter Muskellappen (Encephalo-myo-synangiose). Langenbecks Arch Klin Chir 264:392–401
Karasawa J, Kikuchi H, Furuse S, Kawamura J, Sakai T (1978) Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49:679–688
Karasawa J, Kikuchi H, Furuse S, Sakai T, Yoshida Y, Ohnishi H, Taki W (1977) A surgical treatment of moyamoya disease. Encephalo-myo-synangiosis. Neurol Med Chir (Tokyo) 17:29–37
Kudo T (1968) Spontaneous occlusion of the circle of Willis. A disease apparently confined to Japanese. Neurology (Minneap) 18:485–496
Matsushima Y, Fukai N, Tanaka K, Tsuruoka S, Inaba Y, Aoyagi M, Ohno K (1981) A new surgical treatment of moyamoya disease in children. A preliminary report. Surg Neurol 15:313–320
Nishimoto A, Takeuchi S (1968) Abnormal cerebrovascular network related to the internal carotid arteries. J Neurosurg 29:255–260
Suzuki J, Takaku A (1969) Cerebrovascular “moyamoya” disease. Arch Neurol 20:288–299
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Fujita, K., Tamaki, N. & Matsumoto, S. Surgical treatment of moyamoya disease in children: which is more effective procedure, EDAS or EMS?. Child's Nerv Syst 2, 134–138 (1986). https://doi.org/10.1007/BF00270841
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DOI: https://doi.org/10.1007/BF00270841