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Cerebrovascular occlusive disease in children: A survey

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Summary

Eight cases of stroke in children treated with surgery are reported. Four of the patients had Moya-moya disease and presented with TIA. They were treated by surgically creating collaterals through the STA-MCA bypass, encephalomyosyangiosis and encephalomyoarteriosynangiosis operations. Three patients with traumatic or idiopathic carotid artery stenosis or occlusion presented with TIA and were treated with STA-MCA bypass. One patient with idiopathic carotid artery stenosis presented with a complaint of a continuous swishing noise in the ear and had a STA-MCA bypass followed by carotid artery ligation. Although stroke in children is usually secondary to systemic disease, there is a group of children with surgically treatable disease who need to be identified and treated. The potential benefit of surgery may depend on the promptness with which a definitive diagnosis is reached.

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Authors and Affiliations

  1. Department of Neurological Surgery, Henry Ford Hospital Division, Henry Ford Neurosurgical Institute, Detroit, Michigan, USA

    J. I. Ausman, F. G. Diaz, S. H. Ma, M. Dujovny & B. Sadasivan

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  1. J. I. Ausman
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  2. F. G. Diaz
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  3. S. H. Ma
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  4. M. Dujovny
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  5. B. Sadasivan
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Ausman, J.I., Diaz, F.G., Ma, S.H. et al. Cerebrovascular occlusive disease in children: A survey. Acta neurochir 94, 117–128 (1988). https://doi.org/10.1007/BF01435864

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