Histopathological Characteristics of Distal Middle Cerebral Artery in Adult and Pediatric Patients with Moyamoya Disease

• TAKAGI Yasushi

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

• HERMANTO Yulius

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

• TAKAHASHI Jun C

  Department of Neurosurgery, National Cerebral and Cardiovascular Center

• FUNAKI Takeshi

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

• KIKUCHI Takayuki

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

• MINEHARU Yohei

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

• YOSHIDA Kazumichi

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

• MIYAMOTO Susumu

  Department of Neurosurgery, Kyoto University Graduate School of Medicine

Abstract

Moyamoya disease (MMD) is a unique progressive steno-occlusive disease of the distal ends of bilateral internal arteries and their proximal branches. The difference in clinical symptoms between adult and children MMD patients has been well recognized. In this study, we sought to investigate the phenomenon through histopathological study. Fifty-one patients underwent surgical procedures for treatment of standard indications of MMD at Kyoto University Hospital. Fifty-nine specimens of MCA were obtained from MMD patients during the surgical procedures. Five MCA samples were also obtained in the same way from control patients. The samples were analyzed by histopathological methods. In this study, MCA specimens from MMD patients had significantly thinner media and thicker intima than control specimens. In subsequent analysis, adult (≥ 20 years) patients had thicker intima of MCA compared to pediatric (< 20 years) patients. There is no difference in internal elastic lamina pathology between adult and pediatric patients. Our results indicated that the pathological feature of MMD in tunica media occurs in both adult and pediatric patients. However, the MMD feature in tunica intima of MCA is more prominent in adult patients. Further analysis from MCA specimens and other researches are necessary to elucidate the pathophysiology of MMD.

Journal

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 56 (6), 345-349, 2016

  The Japan Neurosurgical Society

Keywords

• moyamoya disease
• histopathological study
• adult
• pediatric
• middle cerebral artery

Details

• CRID: 1390282680032929024
• NII Article ID: 130005157729
• NII Article ID: 120006335659
• DOI: 10.2176/nmc.oa.2016-0031
• ISSN: 13498029
• ISSN: 04708105
• HANDLE: 2433/226832
• PubMed: 27087193
• Web Site: https://www.jstage.jst.go.jp/article/nmc/56/6/56_oa.2016-0031/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016337916
• Text Lang: en
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed