Complications following Encephalo-Duro-Arterio-Myo-Synangiosis in a case of Moyamoya disease

• Main Authors: Darpa Narayan Hazra, Amit Kumar Ghosh
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2020-01-01
• Series: Brain Circulation
• Subjects: encephalo-duro-arterio-myo-synangiosis; moyamoya; puff of smoke; stroke in encephalo-duro- arterio-myo-synangiosis
• Online Access: http://www.braincirculation.org/article.asp?issn=2394-8108;year=2020;volume=6;issue=1;spage=57;epage=59;aulast=Hazra

We report a case of an 18-year-old girl diagnosed to have Moyamoya disease (MMD), who underwent bilateral encephalo-duro-arterio-myo-synangiosis. Literature search has clearly inferred that in comparison to an adult patient, children with MMD can have a good prognosis if early diagnosis and active surgical intervention are achieved. Evidence has demonstrated that active surgical management, including indirect bypass surgery, may improve the cerebral circulation on a relatively larger scale than direct bypass surgeries, which can only improve the cerebral circulation in the area of the vascular reconstruction.