小児閉塞性脳血管障害の病態と治療

Cerebral Arterial Occlusive Disease in Children:Clinical aspects and surgical treatment

I．はじめに

　小児の脳血管障害のうち，頭蓋内動脈閉塞性疾患は，小児の急性片麻痺の原因の1つとして大切であるにもかかわらず，これに関するまとまった報告は本邦では極めて少ない．

　そこで，過去11年間にわれわれの教室で経験した小児の脳動脈閉塞性疾患の病態につき検討し，外科的立場から治療についても若干の考察を加えて報告する．

In the present study the pathology and treatment of occlusion of cerebral arteries in children were investigated in an attempt to find out an approach to the surgical treatment of cerebral arterial occlusive disease of childhood. We had a total of 55 children with cerebrovascular disorders seen at our Institute during the past 11 years. In this series there were 19 cases of cerebral arterial occlusive disease.

The causes in 15 cases of cerebral arterial occlusive disease except for moyamoya disease were heart disease in 7 cases, trauma in 2 cases and unknown in 6 cases.