Nakagawa Y, Abe H, Sawamura Y, Kamiyama H, Gotoh S, Kashiwaba T
Department of Neurosurgery, Hokkaido University School of Medicine, Sapporo, Japan.
Neurol Res. 1988 Mar;10(1):32-9. doi: 10.1080/01616412.1988.11739812.
Moyamoya disease is a disease characterized by chronic occlusion of the circle of Willis with subsequent development of fine vascular networks in the ganglionic region, which is common in Japanese people. The term of 'moyamoya' means puff of smoke in the Japanese language and represents the characteristic angiographic findings of subsequent development of fine vascular networks in the ganglionic region. Although reconstructive surgery for moyamoya disease has been widely accepted nowadays, there is still no definite consensus as to a surgical indication for patients with an haemorrhagic attack and as to the selection of an operative method for each individual patient. This paper presents our overall surgical results and introduces a new operation, devised by Y. Nakagawa (i.e. EMAS). It refers also to surgical intervention for patients with haemorrhagic attacks.
烟雾病是一种以 Willis 环慢性闭塞并随后在神经节区域形成精细血管网为特征的疾病，在日本人中较为常见。“烟雾（moyamoya）”一词在日语中的意思是一缕烟雾，代表神经节区域随后形成精细血管网的特征性血管造影表现。尽管如今烟雾病的重建手术已被广泛接受，但对于出血发作患者的手术指征以及针对每个患者的手术方法选择仍没有明确的共识。本文介绍了我们的总体手术结果，并引入了由中川洋（Y. Nakagawa）设计的一种新手术（即 EMAS）。它还涉及对出血发作患者的手术干预。
