Adolescents with moyamoya disease: clinical features, surgical treatment and long-term outcomes

  • Meng Zhao
  • Dong Zhang
  • Shuo Wang
  • Yan Zhang
  • Rong Wang
  • Xiaofeng Deng
  • Faliang Gao
  • Jizong Zhao
Original Article - Vascular
  • 25 Downloads

Abstract

Background

This study aimed to elucidate the clinical features, surgical treatment and long-term outcomes of adolescent patients with moyamoya disease.

Methods

We reviewed consecutive patients with moyamoya vasculopathy who were admitted to our hospital from 2009 to 2015 to identify adolescent patients with moyamoya disease. Clinical features, surgical treatment and long-term outcomes were analyzed. Follow-up was performed by face-to-face or structured telephone interviews. Outcome measures were future stroke events. We performed univariate and multivariate time-to-event analyses to identify risk factors associated with future stroke events.

Results

A total of 95 adolescent patients with moyamoya disease (age at onset, 13.1 ± 2.3 years) were included in this study. During follow-up, 12 patients (12.6%) had stroke events. We found that the patients who underwent direct/combined bypass had a significantly lower risk of future strokes [hazard ratio (HR), 0.16; 95% confidence interval (CI), 0.03–0.74; P = 0.019] compared to patients who underwent indirect bypass.

Conclusions

Our results demonstrate that direct/combined bypass can be more effective in preventing future strokes than indirect bypass in adolescent patients with moyamoya disease.

Keywords

Moyamoya disease Adolescent Revascularization Stroke Outcome 

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Copyright information

© Springer-Verlag GmbH Austria 2017

Authors and Affiliations

  1. 1.Department of NeurosurgeryBeijing Tiantan Hospital, Capital Medical UniversityBeijingPeople’s Republic of China
  2. 2.China National Clinical Research Center for Neurological DiseasesBeijingPeople’s Republic of China
  3. 3.Center of StrokeBeijing Institute for Brain DisordersBeijingPeople’s Republic of China

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