Skip to main content
SpringerLink
Log in

Surgical Therapy for Moyamoya Disease

  • Chapter
Treatment of Cerebral Infarction

  • 70 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amine ARC, Moody RA, Meeks W (1977) Bilateral temporal-middle cerebral artery anastomosis for moyamoya syndrome. Surg Neurol 8: 3–6

    PubMed  CAS  Google Scholar 

  2. Ausman JI, Moore J, Chou SN (1976) Spontaneous cerebral revascularization in a patient with STA-MCA anastomosis. Case report. J Neurosurg 44: 84–87

    Article  PubMed  CAS  Google Scholar 

  3. Boone SC, Sampson DS (1978) Observations on moyamoya disease: a case treated with superficial temporal middle cerebral artery anastomosis. Surg Neurol 9: 189–193

    PubMed  CAS  Google Scholar 

  4. Brodner RA (1981) An unusual moyamoya syndrome treated with superficial temporal-middle cerebral artery anastomosis. Case report. Milit Medicine 146: 52–54

    CAS  Google Scholar 

  5. Huber P (1982) Cerebral angiography. Thieme Stuttgart, New York pp 295–3006.

    Google Scholar 

  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: 3–7

    Google Scholar 

  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: 130–133

    Article  CAS  Google Scholar 

  8. Karasawa J, Kikuchi Furuse S et al (1977) A surgical treatment of “moyamoya” disease, Encephalomyosy nangiosis. Neurol Med Chir (Tokyo) 17: 29–37

    Article  CAS  Google Scholar 

  9. Karasawa J, Kikuchi H, Furuse S et al (1978) Treatment of moyamoya disease with STA-MCA anastomosis. J Neurosurg 49: 679–688

    Article  PubMed  CAS  Google Scholar 

  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: 444–449

    PubMed  CAS  Google 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: 313–317

    Google Scholar 

  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: 306–312

    Google Scholar 

  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)

    PubMed  CAS  Google Scholar 

  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 260–263

    Google Scholar 

  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: 1229–1238

    Article  CAS  Google Scholar 

  16. Kodama N, Aoki Y, Hiraga H et al (1979) Electroencephalographic findings in children with moyamoya disease. Arch Neurol 36: 16–19

    Article  PubMed  CAS  Google Scholar 

  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: 1389–1402

    PubMed  CAS  Google Scholar 

  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)

    PubMed  CAS  Google Scholar 

  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: 55–67

    Google Scholar 

  20. Kodama N, Suzuki J (1978) Moyamoya disease associated with aneurysm. J Neurosurg 48: 565–569

    Article  PubMed  CAS  Google Scholar 

  21. Kodama N, Fujiwara S, Horie Y et al (1980) Transdural anastomosis in Moyamoya disease Vault Moyamoya. No Shinkei Geka 8: 729–737

    PubMed  CAS  Google Scholar 

  22. Krayenbiihl HA (1975) The moyamoya syndrome and neurosurgeon. Surg Neurol 4: 353–360

    Google Scholar 

  23. Kuru M, Karasawa J, Kuriyama Y et al (1981) Anesthetic management of “Moyamoya” disease in children. Proc Jap Conf Surg Cereb Stroke: 207–211

    Google Scholar 

  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: 318–322

    Article  PubMed  CAS  Google Scholar 

  25. Mathew NT, Abraham C, Chandy J (1970) Cerebral angiographic features in tuberculous meningitis. Neurology 20: 1015–1023

    PubMed  CAS  Google Scholar 

  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: 313–320

    Article  Google Scholar 

  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 578–583

    Google Scholar 

  28. Nagamine Y, Takahashi S, Sonobe M (1981) Multiple intracranial aneurysms associated with moyamoya disease. Case report. J Neurosurg 54: 673–676

    Article  PubMed  CAS  Google Scholar 

  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: 230–235

    Google Scholar 

  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 233–239

    Google Scholar 

  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 308–317

    Google Scholar 

  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. 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 435–441

    Google Scholar 

  34. Poor GY, Gacs GY (1974) The so-called “Moyamoya disease”. J Neurol Neurosurg Psychiatry 37: 370–377

    Article  PubMed  CAS  Google Scholar 

  35. Rajakulasingam K, Cerullo J, Raimondi AJ (1979) Childhood Moyamoya syndrome. Postirradiation pathogenesis. Child Brain 5: 467

    CAS  Google Scholar 

  36. Richman DP, Watts HG, Parsons D et al (1977) Familial Moyamoya associated with biochemical abnormalities of connective tissue. Neurology 27: 382

    Google Scholar 

  37. Sato S, Suzuki J (1975) Anatomical mapping of the cerebral nervi vasorum in the human brain. J Neurosurg 43: 559–568

    Article  PubMed  CAS  Google Scholar 

  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: 375–384

    PubMed  CAS  Google Scholar 

  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)

    PubMed  CAS  Google Scholar 

  40. Sonobe M, Takahashi S, Kubota Y et al (1982) Chronic subdural hematoma developing after EMS for moyamoya disease. No Shinkei Geka 10: 857–859

    PubMed  CAS  Google Scholar 

  41. Spetzler RF, Roski RA, Kopaniky DR (1980) Alternative superficial temporal artery to middle cerebral artery revascularization procedure. Neurosurgery 7: 484–487

    Article  PubMed  CAS  Google Scholar 

  42. Stockman JA, Nigro MA, Mishkin MM et al (1972) Occlusion of large cerebral vessels in sickle cell anemia. N Engl J Med 287: 846–849

    Article  PubMed  CAS  Google Scholar 

  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: 767–776

    PubMed  CAS  Google Scholar 

  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: 897–908

    Google Scholar 

  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: 469–472

    Google Scholar 

  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: 35–40

    PubMed  CAS  Google Scholar 

  47. Suzuki J, Takaku A (1969) Cerebrovascular “moyamoya” disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol 20: 288–299

    Article  PubMed  CAS  Google Scholar 

  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: 417–424

    PubMed  CAS  Google Scholar 

  49. Suzuki J, Kodama N (1971) Cerebrovascular “Moyamoya” diseasesecond report. Collateral routes to forebrain via ethmoid sinus and superior nasal meatus. Angiology 22: 223–236

    Article  PubMed  CAS  Google Scholar 

  50. Suzuki J, Takaku A, Kodama N et al (1975) An attempt to treat cerebrovascular moyamoya disease in children. Child Brain 1: 193–206

    CAS  Google Scholar 

  51. Suzuki J, Kodama N, Mineura K (1976) Mechanism of symptomatic occurrence in cerebrovascular moyamoya disease. No To Shinkei 28: 459–470 (Eng Abstr)

    PubMed  CAS  Google Scholar 

  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 145–152

    Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  54. Suzuki J (ed) (1983) Moyamoya disease. Igaku-shoin, Tokyo

    Google Scholar 

  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: 255–264

    Google Scholar 

  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: 23–29

    Google Scholar 

  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: 281–285

    Google Scholar 

  58. Tomsick TA, Lukin RR, Chambers AA et al (1976) Neurofibromatosis and intracranial arterial occlusive disease. Neuroradiology 11: 229–234

    Article  PubMed  CAS  Google Scholar 

  59. Tsubokawa T, Kikuchi M, Asano S et al (1964) Surgical treatment for intracranial thrombosis. Case report of “Durapexia”. Neurol Med Chir (Tokyo) 6: 428–429

    Article  Google Scholar 

  60. Ximin L, Xuzhong R, Zhuan C et al (1980) Moyamoya disease caused by leptospiral cerebral arteritis. Chin Med J 93; 599–604

    Google Scholar 

  61. Yasargil MG, Yonekawa Y, Denton I et al (1974) Experimental intracranial transplantation of autogenic omentum ma jus. J Neurosurg 40: 213–217

    Article  PubMed  CAS  Google Scholar 

  62. Yonekawa Y, Yasargil MG (1977) Brain vascularization by transplanted omentum. A possible treatment of cerebral ischemia. Neurosurgery 1: 256–259

    Article  PubMed  CAS  Google Scholar 

  63. Yonemitsu T, Fujiwara S, Kodama N et al (1984) The experimental study on causal genesis of moyamoya disease immunohistochemical investigation. Angiology (Tokyo) 24: 537–547

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Neurosurgery, Institute for Brain Diseases, Tohoku University School of Medicine, Nagamachi, Sendai, Japan

    Professor Jiro Suzuki M.D.

Authors
  1. Professor Jiro Suzuki M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Springer-Verlag/Wien

About this chapter

Cite this chapter

Suzuki, J. (1987). Surgical Therapy for Moyamoya Disease. In: Treatment of Cerebral Infarction. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8861-3_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-7091-8861-3_15

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-8863-7

  • Online ISBN: 978-3-7091-8861-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation