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Title: 側頭葉から後頭葉にかけて高度の虚血を有するもやもや病に対する脳血行再建術
Other Titles: Revascularization Surgery for Moyamoya Disease with Cerebral Ischemia in Temporo-occipital Lobes
Authors: 黒田, 敏1 Browse this author →KAKEN DB
川堀, 真人2 Browse this author →KAKEN DB
宮本, 倫行3 Browse this author
笹森, 徹4 Browse this author
遠藤, 将吾5 Browse this author
中山, 若樹6 Browse this author →KAKEN DB
石川, 達哉7 Browse this author →KAKEN DB
宝金, 清博8 Browse this author →KAKEN DB
岩﨑, 喜信9 Browse this author
Authors(alt): Kuroda, Satoshi1
Kawabori, Masahito2
Miyamoto, Michiyuki3
Sasamori, Tohru4
Endo, Shogo5
Nakayama, Naoki6
Ishikawa, Tatsuya7
Houkin, Kiyohiro8
Iwasaki, Yoshinobu9
Keywords: moyamoya disease
posterior cerebral artery
temporo-occipital lobes
cerebral ischemia
surgical revascularization
Issue Date: 2009
Publisher: 日本脳卒中の外科学会
Journal Title: 脳卒中の外科
Journal Title(alt): Surgery for Cerebral Stroke
Volume: 37
Issue: 5
Start Page: 345
End Page: 349
Publisher DOI: 10.2335/scs.37.345
Abstract: We report a novel surgical technique for patients with profound cerebral ischemia in the temporo-occipital lobes due to significant stenosis of the ipsilateral posterior cerebral artery (PCA) in moyamoya disease. The technique includes STA-MCA anastomosis targeted to the angular artery and indirect bypass through large craniotomy extended towards the temporo-parietal area. Over the past 10 years, we applied the surgical technique for 4 patients who exhibited transient ischemic attacks or ischemic stroke involving the temporo-occipital lobes. Following surgery, none of them developed any cerebrovascular events during follow-up periods of up to 8 years. Cerebral angiography revealed that surgical collaterals widely supplied blood flow to the operated hemispheres, including the posterior temporal and parietal lobes. Postoperative SPECT and/or PET studies also demonstrated marked improvement of cerebral hemodynamics and metabolism in the operated hemispheres, including the occipital lobe. The presented surgical technique can effectively improve cerebral hemodynamics and metabolism in the frontal, temporal, and occipital lobes at once in patients with cerebral ischemia in the temporo-occipital lobes due to PCA stenosis in moyamoya disease.
Type: article
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 川堀 真人

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