Indirect revascularization techniques for treating moyamoya disease

• Published in: Neurosurgery clinics of North America Vol. 21; no. 3; p. 553
• Main Authors: Patel, Neil N, Mangano, Francesco T, Klimo, Jr, Paul
• Format: Journal Article
• Language: English
• Published: United States 01.07.2010
• Subjects: Cerebral Revascularization - methods; Cerebral Revascularization - standards; Child; Humans; Moyamoya Disease - diagnostic imaging; Moyamoya Disease - pathology; Moyamoya Disease - surgery; Neurosurgical Procedures - methods; Neurosurgical Procedures - standards; Radiography; Risk Assessment; Temporal Arteries - anatomy & histology; Temporal Arteries - physiology; Temporal Arteries - surgery; Treatment Outcome; Vascular Surgical Procedures - methods; Vascular Surgical Procedures - standards
• ISSN: 1558-1349
• DOI: 10.1016/j.nec.2010.03.008

There have been many indirect revascularization techniques described by surgeons for the treatment of moyamoya disease. These surgical procedures are typically used more commonly in pediatric, than in adults', cases. Some of the techniques include: cervical sympathectomy, omental transplantation, multiple burr holes, encephalo-myo-synangiosis (EMS), encephalo-arterio-synangiosis (EAS), encephalo-duro-synangiosis (EDS), encephalo-myo-arterio-synangiosis (EMAS), encephalo-duro-arterio-synangiosis (EDAS), encephalo-duro-arterio-myo-synangiosis (EDAMS), encephalo-duro-galeo (periosteal)-synangiosis (EDGS), and combinations of all the above. This chapter will detail the technical aspects of many of these procedures and some of the reported clinical outcomes.