title: [Treatment of pediatric ischemia moyamoya disease by direct bypass combined with multiple burr hole].
abstract: OBJECTIVE
  To investigate the treatment outcome of superficial temporal artery-middle cerebral artery bypass (STA-MCA) combined with multiple burr hole (MB) in pediatric ischemia moyamoya disease.
  
  
  METHODS
  A total of 31 pediatric patients with ischemic moyamoya disease who were admitted to Beijing Tiantan hospital from 2010 to 2013 were divided into two groups which were STA-MCA + MB surgery group (n = 16) and STA-MCA surgery only group (n = 15).
  
  
  RESULTS
  In all patients, the number of patients with symptom improvement was 24 (77.4%), the number of patients with no symptom improvement was 5 (16.1%) and with symptom deterioration was 2 (6.5%). The postoperative modified rankin scale (mRS) in STA-MCA + MB group was significantly lower than that in STA-MCA group (P < 0.05).
  
  
  CONCLUSIONS
  The treatment outcome of STA-MCA combined with MB is superior to STA-MCA bypass surgery only and doesn't increase the incidence of complication.
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Zhao
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China; Email: zhangdong0660@aliyun.com.
authors.forename: Dong
authors.initials: D
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Rong
authors.initials: R
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Shuo
authors.initials: S
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Xun
authors.initials: X
authors.lastname: Ye
authors.forename: Qian
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.
authors.forename: Jizong
authors.initials: J
authors.lastname: Zhao
mesh_terms: D000068476:Beijing; D002548:Cerebral Revascularization; D006801:Humans; D007511:Ischemia; D020768:Middle Cerebral Artery; D009072:Moyamoya Disease; D011184:Postoperative Period; D013699:Temporal Arteries; D016896:Treatment Outcome