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65th Annual Meeting of the German Society of Neurosurgery (DGNC)

German Society of Neurosurgery (DGNC)

11 - 14 May 2014, Dresden

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Bilateral Moyamoya disease treated with different surgical technique

Meeting Abstract

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  • Yunus Kaçar - Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey
  • Royal Mehtiyev - Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey
  • Çaglar Temiz - Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey
  • Ilker Solmaz - Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey
  • Ozkan Tehli - Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey
  • Mehmet Daneyemez - Department of Neurosurgery, Gulhane Military Medical Academy, Ankara, Turkey

Deutsche Gesellschaft für Neurochirurgie. 65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC). Dresden, 11.-14.05.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. DocP 149

doi: 10.3205/14dgnc544, urn:nbn:de:0183-14dgnc5445

Published: May 13, 2014

© 2014 Kaçar et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: Moyamoya disease is a chronic cerebrovascular disorder defined by progressive occlusion of the intracranial vessels. In this report, we present a case of pediatric moyamoya disease involving both hemispheres and treated bilaterally with different surgical technique.

Method: 2-year-old girl patient presented with inability to speech, lack of suction and weakness in the left extremities. Magnetic imaging resonance of the patient revealed bifrontoparietal atrophy and bilateral subacute infarcts in both frontoparietal lobes. MR angiography showed bilateral stenosis of the internal carotid artery in the supraclinoidal segments. Puff of smoke appearnce in both hemispheres was also present. The patient underwent operation with encephalomyosynangiosis in the left hemisphere and multiple burr hole technique for the right hemisphere.

Results: Patient improved in the early postoperative period. She can speek and walk at the 3th month after the operation.

Conclusions: Bilateral moyamoya disease is very rare and can be treated with bilateral revascularization operations in the same session. Particular attention should be paid in pediatric patients in order to obtain best clinical results.