前頭部Encephalo-myo-arterio-synangiosis (EMAS) -モヤモヤ病外科治療の補足法-

井上 亨; 松島 俊夫; 詠田 真治; 藤原 繁; 藤井 清孝; 福井 仁士; 蓮尾 金博

doi:10.2335/scs1987.20.4_297

Frontal Encephalo-myo-arterio-synangiosis (EMAS)

Tooru INOUE, Toshio MATSUSHIMA, Shinji NAGATA, Shigeru FUJIWARA, Kiyotaka FUJII, Masashi FUKUI, Kanehiro HASUE

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Keywords: moyamoya disease, EMAS, EDAS, surgery

JOURNAL FREE ACCESS

1992 Volume 20 Issue 4 Pages 297-300

DOI https://doi.org/10.2335/scs1987.20.4_297

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Abstract

We performed frontal encephalo-myo-arterio-synangiosis (EMAS) combined with encephalo-duro-arterio-synangiosis (EDAS) in children with moyamoya disease. Only EDAS was done in the parietal region on 17 sides in 13 cases, and frontal EMAS with EDAS was performed in the parietal region on 16 sides in 11 cases. Collateral formation was confirmed on the postoperative external carotid angiograms and improvement of clinical symptoms were examined. Frontal EMAS with EDAS was better than EDAS only in terms of the development of collateral circulation and postoperative clinical improvement. Frontal EMAS may be recommended for an additional surgical procedure of EDAS on children with moyamoya disease.

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