Rapid and near-complete resolution of moyamoya vessels in a patient with moyamoya disease treated with superficial temporal artery-middle cerebral artery bypass.
Several groups have reported partial resolution of moyamoya vessels following surgical revascularization in pediatric patients, but angiographic documentation of near-complete resolution has been poor. We report here a case of a 5-year-old boy who underwent bilateral superficial temporal artery-middle cerebral artery bypass combined with unilateral encephaloduroarteriosynangiosis who demonstrated near-complete resolution of moyamoya vessels and a dramatic improvement in cerebral perfusion as measured by xenon-enhanced CT. The resolution of moyamoya networks may serve as an indicator of successful surgical revascularization.
Wang
M Y
MY
Department of Neurosurgery and Stanford Stroke Center, Stanford University Medical School, Calif., USA.
Steinberg
G K
GK
D001783:Blood Flow Velocity / Q000502:physiology; D002533:Cerebral Angiography; D002540:Cerebral Cortex / Q000098:blood supply; D002548:Cerebral Revascularization; D002675:Child, Preschool; D004292:Dominance, Cerebral / Q000502:physiology; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009072:Moyamoya Disease / Q000175:diagnosis / Q000601:surgery*; D009460:Neurologic Examination; D011183:Postoperative Complications / Q000175:diagnosis; D012039:Regional Blood Flow / Q000502:physiology; D014055:Tomography, Emission-Computed