Department of Neurosurgery, Advocate Healthcare, Normal, Illinois, USA.
Department of Neurosurgery, Children's Hospital Colorado, Aurora, Colorado, USA.
Pediatr Neurosurg. 2023;58(2):105-113. doi: 10.1159/000529735. Epub 2023 Feb 21.
Encephaloduroarteriosynangiosis (EDAS) for moyamoya is predominantly performed using a branch of the superficial temporal artery (STA) as the donor artery. At times, other branches of the external carotid artery are better suited for EDAS than is the STA. There is little information in the literature concerning using the posterior auricular artery (PAA) for EDAS in the pediatric age-group. In this case series, we review our experience using the PAA for EDAS in children and adolescents.
We describe the presentations, imaging, and outcomes of 3 patients in whom the PAA was used for EDAS, as well our surgical technique. There were no complications. All 3 patients were confirmed to have radiologic revascularization from their surgeries. All patients also had improvement of their preoperative symptoms, and no patient has had a stroke postoperatively.
The PAA is a viable option for use as a donor artery in EDAS for the treatment of moyamoya in children and adolescents.
用于烟雾病的硬脑膜脑动脉血管融通术（EDAS）主要使用颞浅动脉（STA）的分支作为供体血管。有时，颈外动脉的其他分支比 STA 更适合 EDAS。关于在儿科年龄组中使用耳后动脉（PAA）进行 EDAS 的文献资料很少。在本病例系列中，我们回顾了使用 PAA 进行 EDAS 的经验。
我们描述了 3 名患者的临床表现、影像学表现和结局，以及我们的手术技术。没有发生并发症。所有 3 名患者的手术均证实有影像学再血管化。所有患者的术前症状均有改善，术后无患者发生中风。
PAA 是用于治疗儿童和青少年烟雾病的 EDAS 中供体血管的可行选择。
