title: [Treatment of moyamoya disease by superficial temporal artery-middle cerebral artery anastomosis].
abstract: OBJECTIVE
  To explore the clinical efficacy and experiences of superficial temporal artery-middle cerebral artery anastomosis (STA-MCA) for the treatment of adult Moyamoya disease.
  
  
  METHODS
  Preoperative and postoperative clinical data of 60 patients with moyamoya disease from affiliated hospital of jining medical college were analyzed retrospectively, including 46 cases of ischemic lesion and 14 cases of hemorrhage lesion. All patients were diagnosed with moyamoya disease by DSA and received STA-MCA anastomosis.
  
  
  RESULTS
  The clinical symptoms of 52 patients disappeared after surgery; the clinical symptoms were improved in 6 patients; 1 patient complicated with cerebral infarction; 1 patients reoccurred cerebral hemorrhage broken into ventricles 1 year after anastomosis.
  
  
  CONCLUSIONS
  STA-MCA anastomosis can improve the symptoms of ischemic moyamoya disease effectively and reduce the recurrence of cerebral hemorrhage. STA-MCA anastomosis is a rational and effective approach for the treatment of adult Moyamoya disease.
authors.affiliation: Graduate School, Tianjin Medical University, Tianjin 300052, China.
authors.forename: Zhengyou
authors.initials: Z
authors.lastname: Li
authors.forename: Lingsheng
authors.initials: L
authors.lastname: Kong
authors.forename: Guangkui
authors.initials: G
authors.lastname: Han
authors.forename: Genhua
authors.initials: G
authors.lastname: Li
authors.forename: Song
authors.initials: S
authors.lastname: Feng
authors.forename: Yang
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Neurosurgery, Stem Cell and NeuroOncology Laboratory, Affiliated Hospital of Jining Medical College, Jining 272029, China, Email: jinfengsdjn@163.com.
authors.forename: Feng
authors.initials: F
authors.lastname: Jin
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D002543:Cerebral Hemorrhage; D002544:Cerebral Infarction; D006801:Humans; D020768:Middle Cerebral Artery; D009072:Moyamoya Disease; D011184:Postoperative Period; D012189:Retrospective Studies; D013699:Temporal Arteries