title: Multiple concurrent anastomotic procedures in the management of moyamoya disease: a case report with review of literature.
abstract: It has already been proved by many studies that surgical revascularization definitely helps in curing the symptoms of moyamoya vasculopathy. In this regard, we present a case of moyamoya disease which was cured by concurrent multiple anastomotic procedures, namely superficial temporal artery (STA), middle cerebral artery (MCA) anastomosis, encephalomyosynangiosis (EMS) and encephalogaleosynangiosis (EGS). A 24-year-old woman presented with symptoms of cerebral ischemia. Thorough investigation with MRA and MRI revealed moyamoya vasculopathy and was confirmed by cerebral angiogram. Multiple concurrent combined anastomotic procedures on both sides relieved the symptoms, which was also confirmed angiographically. A Combination of multiple direct and indirect procedures covers the whole ischemic cortical area and provides effective neovascularization.
authors.affiliation: Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan. prabinshr@hiroshima-u.ac.jp
authors.forename: Prabin
authors.initials: P
authors.lastname: Shrestha
authors.forename: Shigeyuki
authors.initials: S
authors.lastname: Sakamoto
authors.forename: Shinji
authors.initials: S
authors.lastname: Ohba
authors.forename: Masaaki
authors.initials: M
authors.lastname: Shibukawa
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kiura
authors.forename: Takahito
authors.initials: T
authors.lastname: Okazaki
authors.forename: Masaaki
authors.initials: M
authors.lastname: Takeda
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Sugiyama
authors.forename: Kaoru
authors.initials: K
authors.lastname: Kurisu
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography; D020768:Middle Cerebral Artery / Q000601:surgery*; D009072:Moyamoya Disease / Q000601:surgery*; D013699:Temporal Arteries / Q000601:surgery*