Open AccessBurr holes revascularization in three pediatric cases of moyamoya syndrome: Easy choice or insidious trap? Case series and review
Author(s) -
Mattia Pacetti,
Domenico Tortora,
Pietro Fiaschi,
Alessandro Consales,
Gianluca Piatelli,
Marcello Ravegnani,
Armando Cama,
Marco Pavanello
Publication year - 2018
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 2248-9614
DOI - 10.4103/ajns.ajns_155_16
Subject(s) - moyamoya disease , medicine , revascularization , etiology , cardiology , superficial temporal artery , internal carotid artery , surgery , middle cerebral artery , ischemia , myocardial infarction
Moyamoya disease is a steno-occlusive cerebrovascular disease of unknown etiology involving the terminal portion of the internal carotid artery and the proximal portions of the anterior and middle cerebral arteries with associated collateral vascular network. When the vascular pattern is associated with a particular condition (e.g., Type 1 neurofibromatosis, Down syndrome), it is defined as moyamoya syndrome (MMS) (or quasi-moyamoya). Among different indirect bypass techniques used to prevent ischemic injury by increasing collateral blood flow to hypoperfused areas of the cortex, multiple burr holes technique is an easy and diffuse indirect revascularization approach in the treatment of moyamoya.