Choque-Velasquez Joham, Colasanti Roberto, Kozyrev Danil A, Hernesniemi Juha, Kawashima Akitsugu
Neurosurgical Unit, Es-Salud Trujillo Hospital, La Libertad, Peru; Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland.
Neurosurgical Unit, Es-Salud Trujillo Hospital, La Libertad, Peru; Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland; Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.
World Neurosurg. 2017 Dec;108:50-53. doi: 10.1016/j.wneu.2017.08.112. Epub 2017 Aug 24.
Pediatric moyamoya cases may be very arduous, even more so in a developing country, where access to specialized centers may be prevented by different factors.
Herein we report a challenging case, which was managed in the new Neurosurgical Center of Trujillo, regarding the direct anastomosis between the left superficial temporal artery and a cortical branch of the left middle cerebral artery in a 8-year-old Peruvian boy with moyamoya disease. Postoperatively, the patient's motor deficits and aphasia improved. To the best of our knowledge, this is the first performance of a direct revascularization for a pediatric moyamoya case in Peru.
The creation of highly specialized neurosurgical centers in the main strategic places of developing countries may allow optimal treatment of neurosurgical patients with complex diseases.
小儿烟雾病病例的治疗可能非常艰巨，在发展中国家更是如此，不同因素可能阻碍患者前往专业中心就诊。
在此，我们报告一例具有挑战性的病例，该病例在特鲁希略新的神经外科中心得到治疗，是一名8岁患有烟雾病的秘鲁男孩，实施了左颞浅动脉与左大脑中动脉皮质支的直接吻合术。术后，患者的运动功能障碍和失语症状有所改善。据我们所知，这是秘鲁首例针对小儿烟雾病病例进行的直接血运重建手术。
在发展中国家的主要战略地点建立高度专业化的神经外科中心，可能使患有复杂疾病的神经外科患者得到最佳治疗。
