Fujita K, Tamaki N, Matsumoto S
Childs Nerv Syst. 1986;2(3):134-8. doi: 10.1007/BF00270841.
At present, encephaloduroarteriosynangiosis (EDAS) and encephalomyosynangiosis (EMS) are the treatments of choice for moyamoya disease in children, but no attempts have been made to determine which is the more effective procedure, for the ischemic lesions in moyamoya disease. Ten patients (seven children and three adults) underwent EDAS and/or EMS: three patients EDAS on both sides; seven patients EDAS on one side and EMS on the other. These ten patients were followed up with a neurological examination and r-CBF and angiographic studies. Postoperative angiograms and r-CBF studies demonstrated more revascularization from the external carotid artery in sides treated with EDAS than with sides treated with EMS. From these results, it is concluded that the EDAS surgical procedure is superior to that of EMS for moyamoya disease.
目前，脑硬脑膜动脉血管融通术（EDAS）和脑肌血管融通术（EMS）是儿童烟雾病的首选治疗方法，但尚未有人尝试确定哪种手术对烟雾病的缺血性病变更有效。10例患者（7例儿童和3例成人）接受了EDAS和/或EMS手术：3例患者双侧行EDAS；7例患者一侧行EDAS，另一侧行EMS。对这10例患者进行了神经学检查、r-CBF和血管造影研究随访。术后血管造影和r-CBF研究表明，接受EDAS治疗的一侧颈外动脉再血管化程度高于接受EMS治疗的一侧。从这些结果可以得出结论，对于烟雾病，EDAS手术方法优于EMS。
