Eom Ki Seong, Kim Dae Won, Choi See-Sung, Kang Sung Don
Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea.
Vasc Endovascular Surg. 2013 Aug;47(6):482-7. doi: 10.1177/1538574413495463. Epub 2013 Jul 12.
Moyamoya disease is a rare cerebrovascular disorder that is characterized by progressive stenosis of the distal portion of the internal carotid artery and its main branches. Here the authors present the first case of spontaneous recanalization of an occluded middle cerebral artery in a woman with moyamoya who had not undergone surgical or endovascular treatment. Although the exact mechanisms remain unclear, spontaneous recanalization in moyamoya could be considered a possible phenomenon. Thus, the neurosurgeons should always pay attention to the pathological variety of dynamic changes in the cerebrovascular structure in moyamoya.
烟雾病是一种罕见的脑血管疾病，其特征是颈内动脉远端及其主要分支进行性狭窄。本文作者报告了首例未经手术或血管内治疗的烟雾病女性患者大脑中动脉闭塞后自发再通的病例。尽管确切机制尚不清楚，但烟雾病的自发再通可被视为一种可能的现象。因此，神经外科医生应始终关注烟雾病脑血管结构动态变化的病理多样性。
