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Encephaloduroarteriosynangiosis

A New Operation to Treat Moyamoya Disease

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Advances in Surgery for Cerebral Stroke
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Abstract

Moyamoya disease is an unusual form of chronic cerebrovascular disease in which the bilateral distal internal carotid arteries (IC) and circle of Willis become progressively narrower [3, 6]. To compensate for a decrease in blood supply to the brain due to this arterial narrowing, the collateral systems for the brain are activated and the blood flow per these collaterals progressively increases in inverse proportion to the progress of IC narrowing, by gradually replacing the collaterals of the internal carotid system with the collaterals of the external carotid system which has more capacity in blood flow. [4, 6].

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References

  1. Matsushima Y, Aoyagi M, Fukai N, Tanaka K, Tsuruoka S, Inaba Y (1982) Angiographic demonstration of cerebral revascularization after encephaloduroarteriosynansiosis (EDAS) performed on pediatric moyamoya patients. Bull Tokyo Med Dent Univ 29:7–17

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  2. Matsushima Y, Fukai N, Tanaka K, Tsuruoka S, Inaba Y, Aoyagi M, Ohno K (1981) A new surgical treatment of moyamoya disease in children: A preliminary report. Surg Neurol 15:313–320

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  3. Matsushima Y, Inaba Y (1984) Moyamoya disease in children and its surgical treatment: An introduction of a new surgical procedure and its follow-up angiograms. Child Brain 11:155–170

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  4. Matsushima Y, Inaba Y (1986) The specificity of the collaterals to the brain through the study and surgical treatment of moyamoya disease. Stroke 17:117–122

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  5. Matsushima Y, Tomita H, Takei H, Yamaguchi T, Takasato Y, Tsuruoka S, Fukumoto T, Kuroiwa T, Takada Y, Niimi Y, Inaba Y (1985) Changes in symptoms after encephaloduroarteriosynangiosis (EDAS) in pediatric moyamoya disease. In: Spetzler RF, Carter LP, Selman WR, Martin NA (eds) Cerebral revascularization for stroke. Thieme, New York, pp 578–583

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  6. Suzuki J, Kodama N (1983) Moyamoya disease: A review. Stroke 14:104–109

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© 1988 Springer Japan

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Matsushima, Y. (1988). Encephaloduroarteriosynangiosis. In: Suzuki, J. (eds) Advances in Surgery for Cerebral Stroke. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68314-8_25

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  • DOI: https://doi.org/10.1007/978-4-431-68314-8_25

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68316-2

  • Online ISBN: 978-4-431-68314-8

  • eBook Packages: Springer Book Archive

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