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INFLUENCE OF SUPERIOR CERVICAL GANGLION ON CEREBRAL HEMODYNAMICS : MEASUREMENTS OF CEREBRAL BLOOD FLOW AND METABOLISM DURING SUPERIOR CERVICAL GANGIONECTOMY IN PATIENTS WITH MOYAMOYA DISEASE H. Sato 1 , A. Ogawa 1 , A. Takahashi 2 , S. Fujiwara 3 , Y. Sakurai 1 , T. Kayama 1 , T. Yoshimoto 2 1Stroke Center, Sendai National Hospital, Division of Neurosurgery 2Institute of Brain Diseases, Tohoku Uuiversity School of Medicine 3Division of Neurosurgery, Konan Hospital Keyword: Moyamoya disease , Ganglionectomy , cortical blood flow , cerebral metabolism , intraoperative monitoring pp.203-208
Published Date 1990/2/1
DOI https://doi.org/10.11477/mf.1406900024
  • Abstract
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The effect of superior cervical ganglionectomy (SCG) on cerebral blood flow and metabolism was investigated in moyamoya disease.

Measurement of cerebral blood flow and meta-bolism was performed in 12 cases (15 operations) of moyamoya disease during SCG. Mean age was65. 2 years (from 3 to 38). 4 were male and eight were female. Ischemic cases were 8 and hemorr-hagic cases were 4.

At encephalo-duro-anterio-synangiosis, a Lazer Doppler flow meter and probes for measuring cor-tical tissue oxygen and carbon dioxide were set ut to allow measuremenst from identical sites on the surface of the brain over the cortex. More-over, an electromagnetic flow meter was placed on the common carotid artery. And the mean arterial blood pressure was also measured from femoral artery. After the electrode had been stabilized, continuous recordings were made of cerebral blood flow and metabolism during SCG.

The mean arterial blood pressure fell slightlypost operatively, but the changes in blood pressure were considered not to be significant enough to affect blood flow. Cortical CBF did not change immediately after SCG. However it increased gra-dually to 118. 8% of preoperation level 30 minutes later respectively, and the difference was observed significant. The carotid blood flow and the tissue oxygen developed a tendency to increase after 30 minutes, but the tissue carbon dioxide did not changed.

The present study indicates that superior cer-vical ganglionectomy is the useful procedure to increase in cerebral blood flow immediately after the operation on patients with moyamoya disease.


Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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