Ausman J I, Diaz F G, Ma S H, Dujovny M, Sadasivan B
Department of Neurological Surgery, Henry Ford Hospital Division, Detroit, Michigan.
Acta Neurochir (Wien). 1988;94(3-4):117-28. doi: 10.1007/BF01435864.
Eight cases of stroke in children treated with surgery are reported. Four of the patients had Moya-moya disease and presented with TIA. They were treated by surgically creating collaterals through the STA-MCA bypass, encephalomyosyangiosis and encephalomyoarteriosynangiosis operations. Three patients with traumatic or idiopathic carotid artery stenosis or occlusion presented with TIA and were treated with STA-MCA bypass. One patient with idiopathic carotid artery stenosis presented with a complaint of a continuous swishing noise in the ear and had a STA-MCA bypass followed by carotid artery ligation. Although stroke in children is usually secondary to systemic disease, there is a group of children with surgically treatable disease who need to be identified and treated. The potential benefit of surgery may depend on the promptness with which a definitive diagnosis is reached.
报告了8例接受手术治疗的儿童中风病例。其中4例患者患有烟雾病并表现为短暂性脑缺血发作（TIA）。他们通过颞浅动脉-大脑中动脉（STA-MCA）搭桥术、脑-肌-血管融合术和脑-肌-动脉-血管融合术手术建立侧支循环进行治疗。3例因创伤性或特发性颈动脉狭窄或闭塞而出现TIA的患者接受了STA-MCA搭桥术治疗。1例特发性颈动脉狭窄患者主诉耳部持续有嗖嗖声，接受了STA-MCA搭桥术，随后进行了颈动脉结扎术。虽然儿童中风通常继发于全身性疾病，但有一组患有可手术治疗疾病的儿童需要被识别和治疗。手术的潜在益处可能取决于做出明确诊断的及时性。
