Encephalo-omental synangiosis in the management of moyamoya disease. Surgery 1992 Feb;111(2):156-62
Date
02/01/1992Pubmed ID
1736385Scopus ID
2-s2.0-0026543577 (requires institutional sign-in at Scopus site) 31 CitationsAbstract
Moyamoya disease is a chronic occlusive cerebrovascular disorder characterized by stenosis of the intracranial internal carotid artery often accompanied by stenosis of the anterior and/or middle cerebral arteries. This results in cerebral ischemia, which manifests clinically as transient, repetitive episodes of hemiplegia, dysarthria, and involuntary movements. This case report documents a patient in whom an initial extracranial-intracranial bypass (superficial temporal-middle cerebral artery) failed to alleviate the ischemic symptoms. In a subsequent procedure, a pedicle graft of omentum was created and through a subcutaneous tunnel was placed on the right cerebral cortex. Over a 2 1/2-year period, this has resulted in a dramatic resolution of the patient's symptomatology. The report delineates the condition and reviews other therapeutic options.
Author List
Havlik RJ, Fried I, Chyatte D, Modlin IMAuthor
Robert Havlik MD Chair, Professor in the Plastic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAnastomosis, Surgical
Cerebral Angiography
Cerebral Arteries
Cerebral Cortex
Cerebral Revascularization
Cerebrovascular Circulation
Humans
Male
Moyamoya Disease
Omentum
Postoperative Period
Recurrence
Reoperation
Surgical Flaps
