Long-term outcome after STA-MCA anastomosis for moyamoya disease.
Long-term outcome after STA-MCA anastomosis for moyamoya disease.
复制标题
烟雾病 STA-MCA 吻合术后的长期结果。
DOI：
10.3171/foc.1998.5.5.8
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发表时间：
1998
影响因子：
4.1
通讯作者：
Haruhiko Kikuchi
中科院分区：
文献类型：
--
作者：
S. Miyamoto;Y. Akiyama;Izumi Nagata;J. Karasawa;K. Nozaki;N. Hashimoto;Haruhiko Kikuchi
对113例烟雾病患者进行了长期评估，以确定治疗后的临床病程。所有患者均患有脑缺血发作，均行颞浅动脉-大脑中动脉吻合术，伴或不伴颞肌移植。随访时间为3 - 24年（平均14.4 +/- 5.8 [标准差]）。113例患者中有110例缺血发作完全停止。100名患者能够恢复独立的日常生活活动。智力发育迟缓使24名患者无法参与独立的社会生活。虽然颅内出血是烟雾病的常见表现之一，但在接受脑血管重建术的113例患者中未发现出血。
A long-term assessment was performed to determine the posttreatment clinical course of 113 patients with moyamoya disease. All patients sustained cerebral ischemic attacks and underwent superficial temporal artery-middle cerebral artery anastomosis with or without temporal muscle grafting. The follow-up duration was 3 to 24 years (mean 14.4 +/- 5.8 [standard deviation]). Complete cessation of the ischemic episodes was obtained in 110 of 113 patients. One hundred patients were able to return to independent acitvities of daily living. Intellectual delays prevented 24 patients from engaging in an independent social life . Although intracranial bleeding is one of the common manifestations in moyamoya disease, hemorrhage was not detected in the 113 patients who underwent cerebral revascularization.