Havlik R J, Fried I, Chyatte D, Modlin I M
Department of Surgery, Yale University School of Medicine, New Haven, CT 06510.
Surgery. 1992 Feb;111(2):156-62.
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.
烟雾病是一种慢性闭塞性脑血管疾病，其特征为颅内颈内动脉狭窄，常伴有大脑前动脉和/或大脑中动脉狭窄。这会导致脑缺血，临床上表现为短暂、反复出现的偏瘫、构音障碍和不自主运动。本病例报告记录了一名患者，其最初的颅外-颅内搭桥手术（颞浅动脉-大脑中动脉）未能缓解缺血症状。在随后的手术中，制作了带蒂大网膜移植物，并通过皮下隧道放置在右侧大脑皮层上。在两年半的时间里，这使患者的症状得到了显著缓解。该报告描述了病情并回顾了其他治疗选择。
