title: Cerebrovascular occlusive disease in children: a survey.
abstract: Eight cases of stroke in children treated with surgery are reported. Four of the patients had Moya-moya disease and presented with TIA. They were treated by surgically creating collaterals through the STA-MCA bypass, encephalomyosyangiosis and encephalomyoarteriosynangiosis operations. Three patients with traumatic or idiopathic carotid artery stenosis or occlusion presented with TIA and were treated with STA-MCA bypass. One patient with idiopathic carotid artery stenosis presented with a complaint of a continuous swishing noise in the ear and had a STA-MCA bypass followed by carotid artery ligation. Although stroke in children is usually secondary to systemic disease, there is a group of children with surgically treatable disease who need to be identified and treated. The potential benefit of surgery may depend on the promptness with which a definitive diagnosis is reached.
authors.affiliation: Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan.
authors.forename: J I
authors.initials: JI
authors.lastname: Ausman
authors.forename: F G
authors.initials: FG
authors.lastname: Diaz
authors.forename: S H
authors.initials: SH
authors.lastname: Ma
authors.forename: M
authors.initials: M
authors.lastname: Dujovny
authors.forename: B
authors.initials: B
authors.lastname: Sadasivan
mesh_terms: D000293:Adolescent; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D011859:Radiography