Multiple Burr Hole Surgery for Pediatric Moyamoya Disease
Author Information
Author(s): Kapu Ravindranath, Symss Nigel Peter, Cugati Goutham, Pande Anil Vasudevan, Chakravarthy M. Ramamurthi, Ravi Dr. Achanta Lakshmipathi
Primary Institution: Neurosurgical Centre, Post Graduate Institute of Neurological Surgery, V.H.S Hospital, Chennai, India
Hypothesis
Indirect revascularization surgery alone is beneficial in treating moyamoya disease in children.
Conclusion
This surgical technique is effective and safe for treating moyamoya disease in children without needing additional procedures.
Supporting Evidence
- The child had only one episode of transient ischemic attack after surgery.
- Postoperative angiogram showed excellent cerebral revascularization.
- SPECT imaging indicated no new perfusion defects in the brain.
Takeaway
Doctors can help kids with a brain condition called moyamoya by making small holes in their skull to improve blood flow.
Methodology
The child underwent bilateral multiple burr holes and arachnoid openings over both cerebral hemispheres under general anesthesia.
Limitations
The study is based on a single case, limiting generalizability.
Participant Demographics
A 10-year-old male child.
Digital Object Identifier (DOI)
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