Surgical management of moyamoya disease. A review

Ali A. Baaj, Siviero Agazzi, Zafar A. Sayed, Maria Toledo, Robert F. Spetzler, Harry van Loveren

Research output: Contribution to journalReview article

Abstract

Moyamoya disease (MMD) is a progressive, occlusive disease of the distal internal carotid arteries associated with secondary stenosis of the circle of Willis. Symptoms include ischemic infarcts in children and hemorrhages in adults. Bypass of the stenotic vessel(s) is the primary surgical treatment modality for MMD. Superficial temporal artery-to-middle cerebral artery bypass is the most common direct bypass method. Indirect techniques rely on the approximation of vascularized tissue to the cerebral cortex to promote neoangiogenesis. This tissue may be in the form of muscle, pericranium, dura, or even omentum. This review highlights the surgical options available for the treatment of MMD.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalNeurosurgical focus
Volume26
Issue number4
DOIs
StatePublished - Oct 13 2009

Fingerprint

Moyamoya Disease
Circle of Willis
Temporal Arteries
Carotid Artery Diseases
Omentum
Middle Cerebral Artery
Cerebral Cortex
Pathologic Constriction
Hemorrhage
Muscles
Therapeutics

Keywords

  • Bypass
  • Encephaloduroarteriomyosyngiosis
  • Encephaloduroarteriosynangiosis
  • Encephalomyosynangiosis
  • Moyamoya disease
  • Omental transplant

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Baaj, A. A., Agazzi, S., Sayed, Z. A., Toledo, M., Spetzler, R. F., & van Loveren, H. (2009). Surgical management of moyamoya disease. A review. Neurosurgical focus, 26(4), 1-7. https://doi.org/10.3171.2009.01.FOCUS08293

Surgical management of moyamoya disease. A review. / Baaj, Ali A.; Agazzi, Siviero; Sayed, Zafar A.; Toledo, Maria; Spetzler, Robert F.; van Loveren, Harry.

In: Neurosurgical focus, Vol. 26, No. 4, 13.10.2009, p. 1-7.

Research output: Contribution to journalReview article

Baaj, AA, Agazzi, S, Sayed, ZA, Toledo, M, Spetzler, RF & van Loveren, H 2009, 'Surgical management of moyamoya disease. A review', Neurosurgical focus, vol. 26, no. 4, pp. 1-7. https://doi.org/10.3171.2009.01.FOCUS08293
Baaj AA, Agazzi S, Sayed ZA, Toledo M, Spetzler RF, van Loveren H. Surgical management of moyamoya disease. A review. Neurosurgical focus. 2009 Oct 13;26(4):1-7. https://doi.org/10.3171.2009.01.FOCUS08293
Baaj, Ali A. ; Agazzi, Siviero ; Sayed, Zafar A. ; Toledo, Maria ; Spetzler, Robert F. ; van Loveren, Harry. / Surgical management of moyamoya disease. A review. In: Neurosurgical focus. 2009 ; Vol. 26, No. 4. pp. 1-7.
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