A modified burr-hole method in galeoduroencephalosynangiosis for an adult patient with probable moyamoya disease--case report and review of the literature.
A 49-year-old woman with probable moyamoya disease was surgically treated by combined direct and indirect methods, superficial temporal to middle cerebral artery anastomosis and galeoduroencephalosynangiosis by a burr-hole method developed by Kawamoto et al. Transient ischemic attacks and motor weakness of bilateral lower extremities disappeared completely within 1 month and never recurred during 1-year follow-up. Galeoduroencephalosynangiosis by a burr-hole method appears useful for preventing ischemic damage of the territory of the anterior cerebral artery in adult patients with probable moyamoya disease.
Kawamoto
H
H
Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan. kawamoto@spch.izumo.shimane.jp
Inagawa
T
T
Ikawa
F
F
Sakoda
E
E
D000714:Anastomosis, Surgical; D002533:Cerebral Angiography; D002548:Cerebral Revascularization; D005260:Female; D006801:Humans; D008875:Middle Aged; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D009072:Moyamoya Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D013699:Temporal Arteries / Q000000981:diagnostic imaging / Q000601:surgery