Miyamoto S, Kikuchi H, Karasawa J, Nagata I
No To Shinkei. 1985 Jun;37(6):561-6.
Fifty-one adult patients with moyamoya disease were studied. Among these, thirteen cases, which had the history of cerebral ischemic attack during childhood, are classified as the cases of juvenile onset. The other thirty-eight cases were classified as those of adult onset. In most of the cases of juvenile onset, occlusive lesions also affected cortical arteries. For these cases, it is important to perform STA-MCA double anastomoses and encephalo-myo-synangiosis. Those of adult onset resembled the pathophysiology of internal carotid artery occlusion, or that of middle cerebral artery occlusion, since few cortical artery occlusion was noted, and leptomeningeal anastomosis was well developed. STA-MCA anastomosis was considered to be the treatment of choice in those of adult onset.
对51例烟雾病成年患者进行了研究。其中，13例在儿童期有脑缺血发作史，被归类为少年发病型。另外38例被归类为成年发病型。在大多数少年发病型病例中，闭塞性病变也累及皮质动脉。对于这些病例，进行颞浅动脉-大脑中动脉双吻合术和脑-肌-血管融合术很重要。成年发病型病例类似于颈内动脉闭塞或大脑中动脉闭塞的病理生理学，因为很少发现皮质动脉闭塞，软脑膜吻合术发育良好。颞浅动脉-大脑中动脉吻合术被认为是成年发病型病例的首选治疗方法。
