雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Neurological Surgery No Shinkei Geka Volume 22, Issue 10 （October 1994）

Neurological Surgery 脳神経外科 22巻10号（1994年10月発行）

Japanese English

研究

ウイリス動脈輪閉塞症に対する各種外科的治療の検討 Effect of Various Surgical Procedures for Moyamoya Disease in Children and Adults 川村強 ^1,2 , 今泉茂樹 ¹ , 桜井芳明 ¹ , 上之原広司 ¹ , 西野晶子 ¹ , 鈴木晋介 ¹ Tsuyoshi KAWAMURA ^1,2 , Shigeki IMAIZUMI ¹ , Yoshiharu SAKURAI ¹ , Hiroshi UENOHARA ¹ , Akiko NISHINO ¹ , Shinsuke SUZUKI ¹ ¹国立仙台病院脳神経外科・脳卒中センター ²東北大学脳神経外科 ¹Department of Neurosurgery, Stroke Center, Sendai National Hospital キーワード： Mayamoya disease , Spontaneous occlusion of the circle Willis , DAS , EDAS , STA-MCA anastomosis Keyword: Mayamoya disease , Spontaneous occlusion of the circle Willis , DAS , EDAS , STA-MCA anastomosis pp.933-938

発行日 1994年10月10日 Published Date 1994/10/10

DOI https://doi.org/10.11477/mf.1436900916

PDF(5093KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside

I．はじめに

　近年，ウイリス動脈輪閉塞症（モヤモヤ病）に対しては様々な外科的治療法が試みられているが^{1,5,6,10,11,18）}，現在その臨床的有用性についてもまた，様々な評価がなされているのが現状である^{2,3,4,7-9,12-15,19）}．

　今回われわれは，本疾患に対して1973年から1992年までに施行し得た各種血行再建術による側副血行路の発育状況，臨床所見及び脳波上の変化を比較検討したので報告する．

We reviewed our various surgical procedures for moyamoya disease to clarify which treatment is better to relieve the patients with moyamoya disease. We re-viewed follow-up angiography, clinical manifestation and EEG. Twenty (5 males and 15 females) patients with moyamoya disease were admitted to our hospital during the period from 1973 to 1991. A child group (under 15 yrs.) consisted of 9 patients: 18 hemispheres underwent, 2 DAS, 13 EDAS, 1 EDAMS, 2 STA-MCA anastomosis+EMAS. In the adult group, there were 11 patients: 19 hemispheres underwent, 4 DAS, 10 EAD-S, 3 STA-MCA anastomosis, 1 EAS, 1 EMAS. Thirty-seven operations were performed totally on these sub-jects and they were studied by follow-up angiography. In the child group, both of direct (STA-MCA+ EMAS) and indirect EDAS group (EDAS, EDAMS) procedures for revascularization showed favorable col-lateral formation postoperatively. DAS was inferior to EDAS in the formation of collateral channels. This may be clue to the significance of contact between the STA band and the brain surface. In the adult group, only 2 DAS, 2 EDAS, 1 EDAMS, 2 STA-MCA, 1 EMAS showed favorable results. Formation of collateral chan-nels in adults was inferior to that in children.