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Journal of Child Neurology
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Modified Encephaloduroarteriosynangiosis as a Surgical Treatment of Childhood Moyamoya Disease: Report of Five Cases

Cynthia M. Rooney, MD

Department of Pediatrics and Neurology, Tufts-New England Medical Center

Edward M. Kaye, MD

Department of Pediatrics and Neurology, Tufts-New England Medical Center

R. Michael Scott, MD

Department of Neurosurgery, Tufts-New England Medical Center

Richard P. Klucznik, MD

Department of Neuroradiology Tufts-New England Medical Center, Boston, MA

N. Paul Rosman, MD

Department of Pediatrics and Neurology, Tufts-New England Medical Center

Moyamoya disease is an idiopathic disorder characterized by progressive occlusion of the internal carotid and anterior and middle cerebral arteries, with formation of an extensive abnormal collateral circulation at the base of the brain. Many neurosurgical procedures have been designed to bypass these occluded vessels. The results of one of these procedures, modified encephaloduroarteriosynangiosis was reviewed in five children followed for 31/2 to 191/2 years. Modified encephaloduroarteriosynangiosis performed unilaterally in one and bilaterally in four of the children, appeared to halt neurologic deterioration, despite angiographic progression, in four of the five children. (J Child Neurol 1991;6:24-31).

Journal of Child Neurology, Vol. 6, No. 1, 24-31 (1991)
DOI: 10.1177/088307389100600105
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