Wanifuchi H, Takeshita M, Izawa M, Aoki N, Kagawa M
Department of Neurosurgery, Tokyo Women's Medical College.
Neurol Med Chir (Tokyo). 1993 May;33(5):300-5. doi: 10.2176/nmc.33.300.
The surgical management of adult moyamoya disease was evaluated retrospectively. Eight of 10 patients with hemorrhagic stroke had no bleeding episodes and eight of 11 patients with ischemic stroke were asymptomatic postoperatively. Angiography demonstrated neovascularization via the external carotid artery (ECA) in 22 sites (88%) and reduced basal moyamoya vessels in 11 sites (44%) postoperatively. These symptomatic improvements and angiographic findings suggest that reconstructive surgery for adult moyamoya disease patients with hemorrhagic or ischemic stroke is effective in decreasing hemodynamic stress in the basal moyamoya vessels and increasing the cortical blood supply via the ECA.
对成人烟雾病的外科治疗进行了回顾性评估。10例出血性卒中患者中有8例未再出血，11例缺血性卒中患者中有8例术后无症状。血管造影显示，术后22个部位（88%）通过颈外动脉（ECA）形成了新生血管，11个部位（44%）的基底烟雾血管减少。这些症状改善和血管造影结果表明，对出血性或缺血性卒中的成人烟雾病患者进行重建手术可有效降低基底烟雾血管的血流动力学压力，并通过ECA增加皮质血液供应。
