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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 75(1-2)

Cerebral Hemorrhage and Cerebral Infarction in 30 Cases of Adult Moyamoya Disease: Comparison between Conservative Therapy and Superficial Temporal Artery-Middle Cerebral Artery Anastomosis

https://doi.org/10.18999/nagjms.75.1-2.37
https://doi.org/10.18999/nagjms.75.1-2.37
c87e153f-3e0d-4504-945a-3c3cf64b8b20
名前 / ファイル ライセンス アクション
04_Oyama1.pdf 04_Oyama1.pdf (644.2 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2013-03-01
タイトル
タイトル Cerebral Hemorrhage and Cerebral Infarction in 30 Cases of Adult Moyamoya Disease: Comparison between Conservative Therapy and Superficial Temporal Artery-Middle Cerebral Artery Anastomosis
著者 OYAMA, HIROFUMI

× OYAMA, HIROFUMI

WEKO 47432

OYAMA, HIROFUMI

Search repository
KITO, AKIRA

× KITO, AKIRA

WEKO 47433

KITO, AKIRA

Search repository
MAKI, HIDEKI

× MAKI, HIDEKI

WEKO 47434

MAKI, HIDEKI

Search repository
HATTORI, KENICHI

× HATTORI, KENICHI

WEKO 47435

HATTORI, KENICHI

Search repository
NODA, TOMOYUKI

× NODA, TOMOYUKI

WEKO 47436

NODA, TOMOYUKI

Search repository
WADA, KENTARO

× WADA, KENTARO

WEKO 47437

WADA, KENTARO

Search repository
キーワード
主題Scheme Other
主題 Moyamoya disease
キーワード
主題Scheme Other
主題 STA-MCA anastomosis
キーワード
主題Scheme Other
主題 Intracerebral hemorrhage
キーワード
主題Scheme Other
主題 Adult
キーワード
主題Scheme Other
主題 Cerebral infarction
抄録
内容記述 To clarify the effect of surgery on the prevention cerebral hemorrhage in adult moyamoya disease, we compared postoperative courses between superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis and conservative therapy. The study subjects were 30 adults with moyamoya disease. Unilateral STA-MCA anastomosis was conducted in 7 of these 30 cases, and bilateral STA-MCA anastomosis was conducted in 8 of these 30 cases. Therefore, anastomosis was performed in a total of 23 sides. The postoperative clinical course was observed for more than 5 years after the STA-MCA anastomosis. Cerebral hemorrhage occurred after operation in 2 sides (8.7%) among the 23 sides that received STAMCA anastomosis. On the contrary, hemorrhage occurred during conservative therapy in 5 sides (13.5%) among 37 non-operation sides (no significance in χ2 test). Cerebral infarction occurred in 3 sides (13%) among 23 sides treated with STA-MCA anastomosis. However, the infarction occurred in 2 sides (5.4%) among the 37 non-operation sides (no significance in χ2 test). Cerebral hemorrhage tended to occur less frequently after STA-MCA anastomosis, and bypass surgery was suggested to have some beneficial effect in preventing cerebral hemorrhage in adult moyamoya disease. However, it was revealed that STA-MCA anastomosis exacerbated the brain ischemia. Therefore, strict management is mandatory in the perioperative period.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.75.1-2.37
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 75, 号 1-2, p. 37-40, 発行日 2013-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7512/7512.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/17599
識別子タイプ HDL
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