Follow-up study of patients with "unilateral" Moyamoya disease

Follow-up study of patients with "unilateral" Moyamoya disease
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DOI:
10.2176/nmc.34.744
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发表时间:
1994-01-01
影响因子:
1.9
通讯作者:
Yonekawa, Yasuhiro
Yonekawa, Yasuhiro
中科院分区:
医学4区
文献类型:
--
作者:
Kawano, Teruaki;Fukui, Masashi;Yonekawa, Yasuhiro

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研究了64例“单侧”威利斯圈闭塞性疾病的患者,以评估双侧疾病的进展。17例患者在单侧病变诊断后1-7年内出现双侧病变。这些患者大多以缺血性发作为首发,入院前反复发作。幼儿,大多小于10岁,倾向于在1-2年内发展为双侧病变,但成人倾向于只有单侧病变。单侧颈内动脉末端闭塞病变的儿童或青年在1-5年内有可能发展为双侧病变。
Sixty-four patients with "unilateral" occlusive disease of the circle of Willis were studied to evaluate progression to bilateral disease. Seventeen patients developed bilateral lesions during a period of 1-7 years after the diagnosis of unilateral lesion. Most of these patients had ischemic attack as the initial episode and had repeated attacks before admission. Young children, mostly less than 10 years of age, tended to develop bilateral lesions within 1-2 years, but adults tended to have only a unilateral lesion. Children or young adults with unilateral occlusive lesion of the terminal portion of the internal carotid artery are likely to develop bilateral disease within 1-5 years.