Wang Weiwei,Xie Shigang,Liu Bo,et al.Efficacy of superficial temporal artery dressing for Moyamoya disease in children[J].Journal of Clinical Pediatric Surgery,,():367-371.[doi:10.3760/cma.j.cn101785-202403060-012]
Efficacy of superficial temporal artery dressing for Moyamoya disease in children
- Keywords:
- Moyamoya Disease; Arteries; Surgery; Treatment Outcome; Child
- Abstract:
- Objective To explore the clinical efficacy of superficial temporal artery dressing for Moyamoya disease(MMD) in children. Methods From January 2020 to August 2022,the clinical data were retrospectively reviewed for 18 hospitalized MMD children at Affiliated Children’s Hospital of Shandong University.Clinical efficacies were evaluated by success rate,postoperative complication rate,improvements of clinical symptoms and changes of imaging features. Results A total of 28 operations were completed successfully.During hospitalization,there was no occurrence of such serious complications as cerebral hemorrhage,cerebral infarction or seizure.However,one child of motor aphasia failed to open mouth.One case of had brief slurred speech after an initial operation and developed transient facial tics after contralateral operation.And another child developed transient weakness of right upper arm due to emotional agitation.Cranial MRA after Month 3 hinted at neovascularization.Cerebral perfusion significantly improved.During a follow-up period of(3-31) month,mRS grade was 0 (n=13),1 (n=3),2 (n=1) and 4 (n=1). Conclusions For MMD in children,superficial temporal artery patching offers a high success rate,few complications,obvious symptomatic improvements and a definite efficacy.
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Memo
收稿日期:2022-12-07。
通讯作者:王广宇,Email:wgywjc@163.com