Is initial unilateral revascularization acceptable in pediatric patients with bilateral moyamoya disease with mild contralateral hemodynamic disturbance?
In pediatric patients with bilateral moyamoya disease, withholding surgery for hemispheres with mild vascular changes and hemodynamic impairment is generally safe. Younger patients were more likely to experience contralateral progression and require additional surgery, so close follow-up is needed. ASL imaging is useful for detecting and following the progression of hemodynamic impairment in conservatively treated hemispheres.
Authors
- Masae Kuroha (ORCID: https://orcid.org/0000-0002-7965-356X)
- Yoji Tanaka (ORCID: https://orcid.org/0000-0002-2433-924X)
- Shoko Hara (ORCID: https://orcid.org/0000-0003-1097-2738)
- Taketoshi Maehara (ORCID: https://orcid.org/0000-0001-6804-4665)
- Tadashi Nariai (ORCID: https://orcid.org/0000-0001-8819-4855)
- Motoki Inaji (ORCID: https://orcid.org/0000-0002-6759-5729)
- Mai Fujioka (ORCID: https://orcid.org/0009-0008-1058-5766)
Institutions
- Tokyo Medical and Dental University (JP)
Publication Details
- Journal
- Journal of Neurosurgery Pediatrics
- Published
- 2024-09-14
- DOI
- https://doi.org/10.3171/2024.7.peds23550
- Primary Topic
- Moyamoya disease diagnosis and treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00