もやもや病の血行再建術の適応と理想的手術術式に関する検討

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  • Indication of Reconstructive Operation for Moyamoya Disease and Ideal Operative Methods

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The authors experienced 12 operative cases of moyamoya disease and the following conclusion was obtained.<BR>A) As to indication of reconstructive operation:<BR>1. Best indication: TIA or RIND or completed stroke with minor neurological deficits<BR>2. Preferable indication : Cerebral hemorrhage and/or intraventricular hemorrhage with minor neurological deficits<BR>3. No indication at the present time: Incidentally discovered, headache only, seizure only, mental retardation in adults<BR>B) As to ideal operative methods:<BR>STA-MCA bypass with encephalo-myo-synangiosis seemed to be the most preferable operative methods. In addition, usefulness of encephalo-arterio-synangiosis (EAS) as a supplemental operative method was emphasized.

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