Child's Nervous System

, Volume 2, Issue 3, pp 134–138 | Cite as

Surgical treatment of moyamoya disease in children: which is more effective procedure, EDAS or EMS?

  • Katsuzo Fujita
  • Norihiko Tamaki
  • Satoshi Matsumoto
Original Papers


At present, encephaloduroarteriosynangiosis (EDAS) and encephalomyosynangiosis (EMS) are the treatments of choice for moyamoya disease in children, but no attempts have been made to determine which is the more effective procedure, for the ischemic lesions in moyamoya disease. Ten patients (seven children and three adults) underwent EDAS and/or EMS: three patients EDAS on both sides; seven patients EDAS on one side and EMS on the other. These ten patients were followed up with a neurological examination and r-CBF and angiographic studies. Postoperative angiograms and r-CBF studies demonstrated more revascularization from the external carotid artery in sides treated with EDAS than with sides treated with EMS. From these results, it is concluded that the EDAS surgical procedure is superior to that of EMS for moyamoya disease.

Key words

Moyamoya disease MRI r-CBF Surgical treatment Chronic cerebrovascular occlusive disease Cerebrovascular anastomosis 


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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • Katsuzo Fujita
    • 1
  • Norihiko Tamaki
    • 1
  • Satoshi Matsumoto
    • 1
  1. 1.Department of NeurosurgeryKobe University, School of MedicineKobeJapan

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