Cerebral ischemia at early postoperative period of direct revascularization for moyamoya d

Cerebral ischemia at early postoperative period of direct revascularization for moyamoya disease: a

case report and literature review

Xiao-Lin Chen ;Li Ma;Yu Chen;Jun-Lin Lu;Xun Ye;Rong Wang;Yuan-Li Zhao

【期刊名称】《神经免疫与神经炎症（英文版）》 【年(卷),期】2017(004)003

【摘要】Hypoperfusion and hyperperfusion could be causes of early postoperative complications that lead to neurological deterioration in patients with moyamoya diseases (MMD) after superficial temporal artery (STA) and middle cerebral artery (MCA) anastomosis. Here, the authors described a case of child-onset bilateral MMD that manifested transient cerebral ischemia in the contralateral hemisphere after left STA-MCA bypass in young adulthood. A new onset of cerebral ischemia in the contralateral hemisphere and transient neurological deterioration suggested the fragile hemodynamics of MMD during early perioperative period. Serial evaluation of postoperative cerebral hemodynamics and perfusion might facilitate targeted management in patients with unstable or advanced MMD. 【总页数】8页(46-53) 【关键词】

【作者】Xiao-Lin Chen ;Li Ma;Yu Chen;Jun-Lin Lu;Xun Ye;Rong Wang;Yuan-Li Zhao