Long-term Follow-up Study of “Epileptic Type” Moyamoya Disease in Children

• NAKASE Hiroyuki

  Departments of Neurosurgery, Osaka Neurological Institute

• OHNISHI Hideyuki

  Departments of Neurosurgery, Osaka Neurological Institute

• TOUHO Hajime

  Departments of Neurosurgery, Osaka Neurological Institute

• MIYAMOTO Susumu

  Departments of Neurosurgery, Osaka Neurological Institute

• WATABE Yasuharu

  Departments of Neurosurgery, Osaka Neurological Institute

• ITOH Tamio

  Departments of Neurosurgery, Osaka Neurological Institute

• YAMADA Keisuke

  Departments of Neurosurgery, Osaka Neurological Institute

• KARASAWA Jun

  Departments of Neurosurgery, Osaka Neurological Institute

• SAKAMOTO Takanori

  Departments of Anesthesiology, Osaka Neurological Institute

• KUREHARA Koukichi

  Departments of Anesthesiology, Osaka Neurological Institute

• SHIMIZU Kiyoshi

  Section of Neurophysiology of the Department of Clinical Laboratory, Osaka Neurological Institute

抄録

Twenty-three patients with epileptic type moyamoya disease are reviewed among 200 moyamoya disease patients. Ten boys and 13 girls aged 5 months to 12 years were followed over 6 months to 17.3 years. Six had generalized seizure and 17 had focal seizure. Operations were performed within 1 year in eight patients, within 1-3 years in five, and more than 3 years after onset in 10. Nineteen patients improved and suffered no seizure without receiving antiepileptic drugs, but four patients developed true epilepsy and three of these suffered cerebral infarction. Multivariate analyses showed that toddlers aged less than 1 year and mild or severe abnormal computed tomographic (CT) findings correlated with a bad outcome. This study showed that epileptic type moyamoya disease has the same clinical features as transient ischemic attack or infarction type. Age under 1 year and CT abnormalities indicate a poor prognosis and necessity for early reconstructive surgery.

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 33 (9), 621-624, 1993

  一般社団法人 日本脳神経外科学会

キーワード

• moyamoya disease
• epilepsy
• reconstruction surgery

詳細情報

• CRID: 1390001205051903744
• NII論文ID: 110002278472
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.33.621
• COI: 1:STN:280:ByuD1cfnvFM%3D
• ISSN: 13498029
• ISSN: 04708105
• PubMed: 7505401
• Web Site: http://www.jstage.jst.go.jp/article/nmc1959/33/9/33_9_621/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1994123617
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可