Advertisement

Surgical Therapy for Moyamoya Disease

  • Jiro Suzuki

Abstract

Moyamoya disease is a cerebrovascular disease in which vascular stenosis or occlusion of an unknown origin is seen in cerebral angiograms to extend from the termination of the bilateral internal carotid arteries (ICA) to the origin of the anterior and middle cerebral arteries (ACA and MCA). An abnormal, fine vascular network is also found at the base of the brain16, 43, 47, 49, 53, 54. Although there are cases in which basal moyamoya vessels are found in association with lesions of known etiology 25, 35, 36, 42, 60, such as von Recklinghausen’s disease 58, trauma 54, fibromuscular dysplasia (FMD)54, or atherosclerosis 34, when the etiology is known, it is not diagnosed as Moyamoya disease 54. Similarly, cases presenting only unilateral basal moyamoya vessels are not considered to be true Moyamoya disease, but are referred to as quasi-Moyamoya disease.

Keywords

Cerebral Blood Flow Moyamoya Disease Superior Cervical Ganglion Superficial Temporal Artery Collateral Pathway 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Amine ARC, Moody RA, Meeks W (1977) Bilateral temporal-middle cerebral artery anastomosis for moyamoya syndrome. Surg Neurol 8: 3–6PubMedGoogle Scholar
  2. 2.
    Ausman JI, Moore J, Chou SN (1976) Spontaneous cerebral revascularization in a patient with STA-MCA anastomosis. Case report. J Neurosurg 44: 84–87PubMedCrossRefGoogle Scholar
  3. 3.
    Boone SC, Sampson DS (1978) Observations on moyamoya disease: a case treated with superficial temporal middle cerebral artery anastomosis. Surg Neurol 9: 189–193PubMedGoogle Scholar
  4. 4.
    Brodner RA (1981) An unusual moyamoya syndrome treated with superficial temporal-middle cerebral artery anastomosis. Case report. Milit Medicine 146: 52–54Google Scholar
  5. 5.
    Huber P (1982) Cerebral angiography. Thieme Stuttgart, New York pp 295–3006.Google Scholar
  6. 6.
    Isono M, Yonemitsu T, Fujiwara S et al (1981) Epidemiological study on Moyamoya desease. From the experience of 100 cases. Proc 10th Jap Conf Surg Cereb Stroke 5: 3–7Google Scholar
  7. 7.
    Kameyama M, Shirane R, Tsurmi Y et al (1986) Evaluation of cerebral blood and metabolism in childhood moyamoya disease: an investigation into “re-build-up” on EEC by positron CT. Child’s Nerv Syst 2: 130–133CrossRefGoogle Scholar
  8. 8.
    Karasawa J, Kikuchi Furuse S et al (1977) A surgical treatment of “moyamoya” disease, Encephalomyosy nangiosis. Neurol Med Chir (Tokyo) 17: 29–37CrossRefGoogle Scholar
  9. 9.
    Karasawa J, Kikuchi H, Furuse S et al (1978) Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49: 679–688PubMedCrossRefGoogle Scholar
  10. 10.
    Karasawa J, Kikuchi H, Kawamura J et al (1980) Intracranial transplantation of the omentum for cerebrovascular moyamoya desease. A two-year follow-up study. Surg Neurol 14: 444–449PubMedGoogle Scholar
  11. Karasawa J, Kikuchi H, Kobayashi K et al (1981) Evaluation of angiographical changes after ST-MC anastomoses in “moyamoya” disease. Proc 10th Jap Conf Surg Cereb Stroke 50: 313–317Google Scholar
  12. 12.
    Karasawa J, Kikuchi H, Matsumoto A et al (1981) Surgical treatment of “Moyamoya” desease. Follow up study during 3.5 years and over. Proc 10th Jap Conf Surg Cereb Stroke 20: 306–312Google Scholar
  13. 13.
    Kasai N, Fujiwara S, Kodama N et al (1982) The experimental study on causal genesis of moyamoya disease correlation with immunological reaction and sympathetic nerve influence for vascular changes. No Shinkei Geka 10: 251–261 (Eng Abstr)PubMedGoogle Scholar
  14. 14.
    Kikuchi H, Karasawa J (1976) Extra-intracranial arterial anastomosis in ten patients with moyamoya syndrome (occlusion of the circle of Willis). In: Schmiedek P (ed) Microsurgery for stroke. Springer, Berlin Heidelberg New York, pp 260–263Google Scholar
  15. 15.
    Kobayashi K, Takeuchi S, Tsuchida T et al (1981) Encephalo-myosynagiosis (EMS) in moyamoya disease with special reference to postoperative angiography. Neurol Med Chir (Tokyo) 21: 1229–1238CrossRefGoogle Scholar
  16. 16.
    Kodama N, Aoki Y, Hiraga H et al (1979) Electroencephalographic findings in children with moyamoya disease. Arch Neurol 36: 16–19PubMedCrossRefGoogle Scholar
  17. 17.
    Kodama N (1971) The study on the aging of the perforating branches and its possibility of collateral pathway: concerning with cerebrovascular “moyamoya” disease. No To Shinkei 23: 1389–1402PubMedGoogle Scholar
  18. 18.
    Kodama N, Mineura K, Suzuki J et al (1976) Ventricular hemorrhage due to chronic cerebral ischemia. No To Shinkei 28: 823–831 (Eng Abstr)PubMedGoogle Scholar
  19. 19.
    Kodama N, Suzuki J (1975) Cerebrovascular moyamoya disease. Illrd Report. The study on the aging of the perforating branches and the possibility of collateral pathway. Neurol Med Chir (Tokyo) 15: 55–67Google Scholar
  20. 20.
    Kodama N, Suzuki J (1978) Moyamoya disease associated with aneurysm. J Neurosurg 48: 565–569PubMedCrossRefGoogle Scholar
  21. 21.
    Kodama N, Fujiwara S, Horie Y et al (1980) Transdural anastomosis in Moyamoya disease Vault Moyamoya. No Shinkei Geka 8: 729–737PubMedGoogle Scholar
  22. 22.
    Krayenbiihl HA (1975) The moyamoya syndrome and neurosurgeon. Surg Neurol 4: 353–360Google Scholar
  23. 23.
    Kuru M, Karasawa J, Kuriyama Y et al (1981) Anesthetic management of “Moyamoya” disease in children. Proc Jap Conf Surg Cereb Stroke: 207–211Google Scholar
  24. 24.
    Lesoin F, Ijomin M, Viaud C et al (1983) Encephalo-arteriosynangiosis in the treatment of chronic cerebral ischemia. Preliminary report based on 30 cases. Surg Neurol 20: 318–322PubMedCrossRefGoogle Scholar
  25. 25.
    Mathew NT, Abraham C, Chandy J (1970) Cerebral angiographic features in tuberculous meningitis. Neurology 20: 1015–1023PubMedGoogle Scholar
  26. 26.
    Matsushima Y, Fukai N, Tanaka K et al (1980) A new surgical treatment of moyamoya disease in children. A preliminary report. Surg Neurol 15: 313–320CrossRefGoogle Scholar
  27. 27.
    Matsushima Y, Tomita H, Takei H et al (1985) Changes in symptoms after encepha-loduroarteriosynangiosis (EDAS) in pediatric moyamoya disease. In: Spetzler RF, Carter LP, Selman WR et al (eds) Cerebral revascularization for stroke. Thieme-Stratton, New York, pp 578–583Google Scholar
  28. 28.
    Nagamine Y, Takahashi S, Sonobe M (1981) Multiple intracranial aneurysms associated with moyamoya disease. Case report. J Neurosurg 54: 673–676PubMedCrossRefGoogle Scholar
  29. 29.
    Nakagawa Y, Ikota T, Ohtsuka K et al (1981) Indication of reconstructive operation for moyamoya disease and ideal operative methods. Proc 10th Jap Conf Surg Cereb Stroke: 230–235Google Scholar
  30. 30.
    Nakagawa Y, Tsuru M, Gotoh S et al (1984) Reconstructive surgery in moyamoya disease with hemorrhagic attack: Does surgical intervention reduce the risk for repeated bleeding? In: Handa H et al (eds) Microsurgical anastomoses for cerebral ischemia. Igakushoin, Tokyo, pp 233–239Google Scholar
  31. 31.
    Nakagawa Y, Tsuru M, Mabuchi S et al (1985) Reconstructive surgery in 28 patients of moyamoya disease. Operative methods, outcome and postoperative angiography. In: Spetzler RF et al (eds) Cerebral revascularization for stroke. Thieme-Stratton, New York, pp 308–317Google Scholar
  32. 32.
    Ohyama H, Niizuma H, Fujiwara S et al (1985) EEG findings in moyamoya disease in children. Concerning with the causal genesis of re-build up. No Shinkei Geka 13: 727–733 (Eng Abstr)Google Scholar
  33. 33.
    Owada K, Hori S, Suzuki J (1979) Result of cervical sympathectomy for cerebral vasospasm following aneurysm rupture. In: Suzuki J (ed) Cerebral aneurysm. Neuron Pub, Tokyo, pp 435–441Google Scholar
  34. 34.
    Poor GY, Gacs GY (1974) The so-called “Moyamoya disease”. J Neurol Neurosurg Psychiatry 37: 370–377PubMedCrossRefGoogle Scholar
  35. 35.
    Rajakulasingam K, Cerullo J, Raimondi AJ (1979) Childhood Moyamoya syndrome. Postirradiation pathogenesis. Child Brain 5: 467Google Scholar
  36. 36.
    Richman DP, Watts HG, Parsons D et al (1977) Familial Moyamoya associated with biochemical abnormalities of connective tissue. Neurology 27: 382Google Scholar
  37. 37.
    Sato S, Suzuki J (1975) Anatomical mapping of the cerebral nervi vasorum in the human brain. J Neurosurg 43: 559–568PubMedCrossRefGoogle Scholar
  38. 38.
    Sato T, Sato S, Suzuki J (1979) Correlation with superior cervical sympathetic ganglion and sympathetic nerve innervation of intracranial artery electron microscopical studies. No To Shinkei 31: 375–384PubMedGoogle Scholar
  39. 39.
    Sobata E (1980) Efficacy of the cervical sympathectomy in cerebral ischemic patients. Measurement of blood flow with a square wave electomagnetic flowmeter and clinical study. No Shinkei Geka 8: 739–748 (Eng Abstr)PubMedGoogle Scholar
  40. 40.
    Sonobe M, Takahashi S, Kubota Y et al (1982) Chronic subdural hematoma developing after EMS for moyamoya disease. No Shinkei Geka 10: 857–859PubMedGoogle Scholar
  41. 41.
    Spetzler RF, Roski RA, Kopaniky DR (1980) Alternative superficial temporal artery to middle cerebral artery revascularization procedure. Neurosurgery 7: 484–487PubMedCrossRefGoogle Scholar
  42. 42.
    Stockman JA, Nigro MA, Mishkin MM et al (1972) Occlusion of large cerebral vessels in sickle cell anemia. N Engl J Med 287: 846–849PubMedCrossRefGoogle Scholar
  43. 43.
    Suzuki J, Takaku A, Asahi M et al (1965) Diseases showing the “flbrille” like vessels at the base of brain (frequently found in Japan). No To Shinkei 17: 767–776PubMedGoogle Scholar
  44. 44.
    Suzuki J, Takaku A, Asahi M et al (1968) The disease showing the abnormal vascular net-work at the base of brain, particularly found in Japan. II. A follow-up study. No To Shinkei 18: 897–908Google Scholar
  45. 45.
    Suzuki J, Takaku A (1968) The disease showing the abnormal vascular net-work at the base of brain, particularly found in Japan. III. Our opinion. Shindan To Chiryo 56: 469–472Google Scholar
  46. 46.
    Suzuki J, Takaku A (1968) The disease showing the abnormal vascular net-work at the base of brain, particularly found in Japan. IV our opinion of the dynamic change of these vascular net-work. No To Shinkei 20: 35–40PubMedGoogle Scholar
  47. 47.
    Suzuki J, Takaku A (1969) Cerebrovascular “moyamoya” disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol 20: 288–299PubMedCrossRefGoogle Scholar
  48. 48.
    Suzuki J, Kodama N, Takaku A (1970) Collateral pathway via “ethmoidal moyamoya in cerebrovascular ”moyamoya“ disease: disease showing abnormal net-like vessels in base of brain. No To Shinkei 22: 417–424PubMedGoogle Scholar
  49. 49.
    Suzuki J, Kodama N (1971) Cerebrovascular “Moyamoya” diseasesecond report. Collateral routes to forebrain via ethmoid sinus and superior nasal meatus. Angiology 22: 223–236PubMedCrossRefGoogle Scholar
  50. 50.
    Suzuki J, Takaku A, Kodama N et al (1975) An attempt to treat cerebrovascular moyamoya disease in children. Child Brain 1: 193–206Google Scholar
  51. 51.
    Suzuki J, Kodama N, Mineura K (1976) Mechanism of symptomatic occurrence in cerebrovascular moyamoya disease. No To Shinkei 28: 459–470 (Eng Abstr)PubMedGoogle Scholar
  52. 52.
    Suzuki J, Kodama N (1980) Correlation between ventricular hemorrhage and chronic cerebral ischemia in adult moyamoya. In: Pia HW, Langmaid C, Zierski J (eds) Spontaneous intracerebral hematoma. Springer, Berlin Heidelberg New York, pp 145–152Google Scholar
  53. 53.
    Suzuki J, Kodama N (1983) Moyamoya disease. A review. Stroke 14: 104–109PubMedCrossRefGoogle Scholar
  54. 54.
    Suzuki J (ed) (1983) Moyamoya disease. Igaku-shoin, TokyoGoogle Scholar
  55. 55.
    Takahashi A, Fujiwara S, Suzuki J (1985) Cerebral angiography following hyperventilation in moyamoya disease. In Relation to the “re-build up” phenomenon on EEG. No Shinkei Geka 13: 255–264Google Scholar
  56. 56.
    Takahashi A, Fujiwara S, Suzuki J (1986) Long-term follow-up angiography of moyamoya disease. Cases followed up from childhood to adolescence. No Shinkei Geka 13: 23–29Google Scholar
  57. 57.
    Takeuchi S, Kobayashi K, Tsuchida T et al (1981) Effect of encephalo-myo-synangiosis in moyamoya disease. Proc 10th Jap Conf Surg Cereb Stroke: 281–285Google Scholar
  58. 58.
    Tomsick TA, Lukin RR, Chambers AA et al (1976) Neurofibromatosis and intracranial arterial occlusive disease. Neuroradiology 11: 229–234PubMedCrossRefGoogle Scholar
  59. 59.
    Tsubokawa T, Kikuchi M, Asano S et al (1964) Surgical treatment for intracranial thrombosis. Case report of “Durapexia”. Neurol Med Chir (Tokyo) 6: 428–429CrossRefGoogle Scholar
  60. 60.
    Ximin L, Xuzhong R, Zhuan C et al (1980) Moyamoya disease caused by leptospiral cerebral arteritis. Chin Med J 93; 599–604Google Scholar
  61. 61.
    Yasargil MG, Yonekawa Y, Denton I et al (1974) Experimental intracranial transplantation of autogenic omentum ma jus. J Neurosurg 40: 213–217PubMedCrossRefGoogle Scholar
  62. 62.
    Yonekawa Y, Yasargil MG (1977) Brain vascularization by transplanted omentum. A possible treatment of cerebral ischemia. Neurosurgery 1: 256–259PubMedCrossRefGoogle Scholar
  63. 63.
    Yonemitsu T, Fujiwara S, Kodama N et al (1984) The experimental study on causal genesis of moyamoya disease immunohistochemical investigation. Angiology (Tokyo) 24: 537–547Google Scholar

Copyright information

© Springer-Verlag/Wien 1987

Authors and Affiliations

  • Jiro Suzuki
    • 1
  1. 1.Division of Neurosurgery, Institute for Brain DiseasesTohoku University School of MedicineNagamachi, SendaiJapan

Personalised recommendations