title: [Anesthetic Management of a Patient with Quasi-moyamoya Disease Undergoing Total Thyroidectomy for Graves' Disease].
abstract: Quasi-moyamoya disease defined as moyamoya disease combined with autoimmune diseases such as Graves' disease is rare. We report anesthetic management of a patient with quasi-moyamoya disease undergoing total thyroidectomy for Graves' disease resistant to medical therapy. This disease is characterized by the aggravation of cerebral ischemic symptoms with hyperthyroidism. We, therefore, applied steroid pulse therapy before the operation to induce temporal normalization of the thyroid function, and could perform safe anesthetic management of this patient with quasi-moyamoya disease.
authors.forename: Shinnosuke
authors.initials: S
authors.lastname: Shiono
authors.forename: Chiho
authors.initials: C
authors.lastname: Ota
authors.forename: Tatsuyuki
authors.initials: T
authors.lastname: Imada
authors.forename: Yukio
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Yuji
authors.initials: Y
authors.lastname: Fujino
mesh_terms: D000328:Adult; D018685:Anesthetics, Inhalation / Q000008:administration & dosage*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage*; D003907:Dexamethasone / Q000008:administration & dosage; D004338:Drug Combinations; D005260:Female; D006111:Graves Disease / Q000601:surgery*; D006801:Humans; D008738:Methyl Ethers / Q000008:administration & dosage*; D009072:Moyamoya Disease / Q000150:complications*; D019990:Perioperative Care; D010880:Piperidines / Q000008:administration & dosage*; D000077208:Remifentanil; D000077149:Sevoflurane; D013965:Thyroidectomy
chemical_list: D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D004338:Drug Combinations; D008738:Methyl Ethers; D010880:Piperidines; D000077149:Sevoflurane; D003907:Dexamethasone; D000077208:Remifentanil