Abstract
A 45-year-old male patient with moyamoya disease is scheduled for a superficial temporal to middle cerebral artery bypass. He has a past medical history of hypertension and stroke with residual left arm weakness.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Scott RM, Smith ER. Moyamoya disease and moyamoya syndrome. N Engl J Med. 2009;360(12):1226–37.
Parray T, Martin TW, Siddiqui S. Moyamoya disease: a review of the disease and anesthetic management. J Neurosurg Anesthesiol. 2011;23(2):100–9.
Baaj AA, et al. Surgical management of moyamoya disease: a review. Neurosurg Focus. 2009;26(4):E7.
Kuriyama S, et al. Prevalence and clinicoepidemiological features of moyamoya disease in Japan: findings from a nationwide epidemiological survey. Stroke. 2008;39(1):42–7.
Chiu D, et al. Clinical features of moyamoya disease in the United States. Stroke. 1998;29(7):1347–51.
Choi JU, et al. Natural history of moyamoya disease: comparison of activity of daily living in surgery and non surgery groups. Clin Neurol Neurosurg. 1997;99(Suppl 2):S11–8.
Yilmaz EY, et al. Moyamoya: Indiana University Medical Center experience. Arch Neurol. 2001;58(8):1274–8.
Hosain SA, et al. Use of a calcium channel blocker (nicardipine HCl) in the treatment of childhood moyamoya disease. J Child Neurol. 1994;9(4):378–80.
Hallemeier CL, et al. Clinical features and outcome in north American adults with moyamoya phenomenon. Stroke. 2006;37(6):1490–6.
Smith ER, Scott RM. Surgical management of moyamoya syndrome. Skull Base. 2005;15(1):15–26.
Kuroda S, Houkin K. Moyamoya disease: current concepts and future perspectives. Lancet Neurol. 2008;7(11):1056–66.
Guzman R, et al. Clinical outcome after 450 revascularization procedures for moyamoya disease. Clinical article. J Neurosurg. 2009;111(5):927–35.
Mesiwala AH, et al. Long-term outcome of superficial temporal artery-middle cerebral artery bypass for patients with moyamoya disease in the US. Neurosurg Focus. 2008;24(2):E15.
Andrews BT, Chater NL, Weinstein PR. Extracranial-intracranial arterial bypass for middle cerebral artery stenosis and occlusion. Operative results in 65 cases. J Neurosurg. 1985;62(6):831–8.
Sakurai K, et al. A novel susceptibility locus for moyamoya disease on chromosome 8q23. J Hum Genet. 2004;49(5):278–81.
Trigeminal neuralgia. Surg Neurol. 1996;45(5):406–8.
Fujimura M, et al. Incidence and risk factors for symptomatic cerebral hyperperfusion after superficial temporal artery-middle cerebral artery anastomosis in patients with moyamoya disease. Surg Neurol. 2009;71(4):442–7.
Manceau E, Giroud M, Dumas R. Moyamoya disease in children. A review of the clinical and radiological features and current treatment. Childs Nerv Syst. 1997;13(11–12):595–600.
Suzuki J, Takaku A. Cerebrovascular “moyamoya” disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol. 1969;20(3):288–99.
Fukuyama Y, Umezu R. Clinical and cerebral angiographic evolutions of idiopathic progressive occlusive disease of the circle of Willis (“moyamoya” disease) in children. Brain Dev. 1985;7(1):21–37.
Baykan N, et al. Moyamoya disease and anesthesia. Paediatr Anaesth. 2005;15(12):1111–5.
Nomura S, et al. Perioperative management protocols for children with moyamoya disease. Childs Nerv Syst. 2001;17(4–5):270–4.
Soriano SG, Sethna NF, Scott RM. Anesthetic management of children with moyamoya syndrome. Anesth Analg. 1993;77(5):1066–70.
Ogawa A, et al. Cerebral blood flow in moyamoya disease. Part 2: autoregulation and CO2 response. Acta Neurochir. 1990;105(3–4):107–11.
Kuwabara Y, et al. Response to hypercapnia in moyamoya disease. Cerebrovascular response to hypercapnia in pediatric and adult patients with moyamoya disease. Stroke. 1997;28(4):701–7.
Kikuta K, et al. Effects of intravenous anesthesia with propofol on regional cortical blood flow and intracranial pressure in surgery for moyamoya disease. Surg Neurol. 2007;68(4):421–4.
Astrup J, et al. Minimum cerebral blood flow and metabolism during craniotomy. Effect of thiopental loading. Acta Anaesthesiol Scand. 1984;28(5):478–81.
Cold GE, et al. CBF and CMRO2 during continuous etomidate infusion supplemented with N2O and fentanyl in patients with supratentorial cerebral tumour. A dose-response study. Acta Anaesthesiol Scand. 1985;29(5):490–4.
Kurehara K, et al. Cortical blood flow response to hypercapnia during anaesthesia in Moyamoya disease. Can J Anaesth. 1993;40(8):709–13.
Adachi K, et al. Early postoperative complications in patients with Moyamoya disease—a comparison of inhaled anesthesia with total intravenous anesthesia (TIVA). Masui. 2005;54(6):653–7.
Sakamoto T, et al. Risk factors for neurologic deterioration after revascularization surgery in patients with moyamoya disease. Anesth Analg. 1997;85(5):1060–5.
Michenfelder JD. Anesthesia for cerebral surgery. In: Stanley TH, Petty WC, editors. New anesthetic agents, devices and monitoring. 1st ed; 1983. p. 45–9.
Brown SC, Lam AM. Moyamoya disease—a review of clinical experience and anaesthetic management. Can J Anaesth. 1987;34(1):71–5.
Kansha M, et al. Anesthetic management of children with moyamoya disease. Clin Neurol Neurosurg. 1997;99(Suppl 2):S110–3.
Sato K, Shirane R, Yoshimoto T. Perioperative factors related to the development of ischemic complications in patients with moyamoya disease. Childs Nerv Syst. 1997;13(2):68–72.
Iwama T, Hashimoto N, Yonekawa Y. The relevance of hemodynamic factors to perioperative ischemic complications in childhood moyamoya disease. Neurosurgery. 1996;38(6):1120–5. discussion 1125-6
Orihashi K, et al. Near-infrared spectroscopy for monitoring cerebral ischemia during selective cerebral perfusion. Eur J Cardiothorac Surg. 2004;26(5):907–11.
Yusa T, Yamashiro K. Local cortical cerebral blood flow and response to carbon dioxide during anesthesia in patients with moyamoya disease. J Anesth. 1999;13(3):131–5.
Tagawa T, et al. Regional cerebral blood flow, clinical manifestations, and age in children with moyamoya disease. Stroke. 1987;18(5):906–10.
Sumikawa K, Nagai H. Moyamoya disease and anesthesia. Anesthesiology. 1983;58(2):204–5.
Zipfel GJ, Fox DJ Jr, Rivet DJ. Moyamoya disease in adults: the role of cerebral revascularization. Skull Base. 2005;15(1):27–41.
Kim SH, et al. Risk factors for postoperative ischemic complications in patients with moyamoya disease. J Neurosurg. 2005;103(5 Suppl):433–8.
Lee SH, et al. Optimum degree of hemodilution for brain protection in a canine model of focal cerebral ischemia. J Neurosurg. 1994;80(3):469–75.
Veeravagu A, et al. Moyamoya disease in pediatric patients: outcomes of neurosurgical interventions. Neurosurg Focus. 2008;24(2):E16.
Malley RA, Frost EA. Moyamoya disease: pathophysiology and anesthetic management. J Neurosurg Anesthesiol. 1989;1(2):110–4.
Januszewski J, et al. Flow-based evaluation of cerebral revascularization using near-infrared indocyanine green videoangiography. Neurosurg Focus. 2014;36(2):E14.
Pandey P, Steinberg GK. Neurosurgical advances in the treatment of moyamoya disease. Stroke. 2011;42(11):3304–10.
Chu W, et al. Anaphylactic shock after intravenous administration of indocyanine green during robotic partial nephrectomy. Urol Case Rep. 2017;12:37–8.
Olsen TW, et al. Anaphylactic shock following indocyanine green angiography. Arch Ophthalmol. 1996;114(1):97.
Kaku Y, et al. STA-MCA bypass under local anesthesia. Acta Neurochir Suppl. 2018;129:79–84.
Ngan Kee WD, Gomersall CD. Extradural anaesthesia for caesarean section in a patient with moyamoya disease. Br J Anaesth. 1996;77(4):550–2.
Sharma SK, et al. Epidural anesthesia for a patient with moyamoya disease presenting for cesarean section. Anesth Analg. 1994;79(1):183–5.
Venkatesh B, Taggart PC. Anaesthetic management of a patient with Moyamoya disease for caesarean section. Can J Anaesth. 1994;41(1):79–80.
Abouleish E, Wiggins M, Ali V. Combined spinal and epidural anesthesia for cesarean section in a parturient with moyamoya disease. Acta Anaesthesiol Scand. 1998;42(9):1120–3.
Ahn HJ, et al. Effect of preoperative skull block on pediatric moyamoya disease. J Neurosurg Pediatr. 2008;2(1):37–41.
Chui J, et al. Anesthetic management of patients undergoing intracranial bypass procedures. Anesth Analg. 2015;120(1):193–203.
Yu J, et al. Progress on complications of direct bypass for moyamoya disease. Int J Med Sci. 2016;13(8):578–87.
Iwama T, et al. Peri-operative complications in adult moyamoya disease. Acta Neurochir. 1995;132(1–3):26–31.
Fung LW, Thompson D, Ganesan V. Revascularisation surgery for paediatric moyamoya: a review of the literature. Childs Nerv Syst. 2005;21(5):358–64.
Scott RM, et al. Long-term outcome in children with moyamoya syndrome after cranial revascularization by pial synangiosis. J Neurosurg. 2004;100(2 Suppl Pediatrics):142–9.
Aoki N. Cerebrovascular bypass surgery for the treatment of Moyamoya disease: unsatisfactory outcome in the patients presenting with intracranial hemorrhage. Surg Neurol. 1993;40(5):372–7.
Huang Z, et al. Clinical features and outcomes in 154 patients with haemorrhagic moyamoya disease: comparison of conservative treatment and surgical revascularization. Neurol Res. 2015;37(10):886–92.
Park W, et al. Intracranial hemorrhage after superficial temporal artery-middle cerebral artery direct anastomosis for adults with moyamoya disease. World Neurosurg. 2018;119:e774–82.
Yoshida Y, et al. Clinical course, surgical management, and long-term outcome of moyamoya patients with rebleeding after an episode of intracerebral hemorrhage: an extensive follow-up study. Stroke. 1999;30(11):2272–6.
Fujimura M, et al. Significance of focal cerebral hyperperfusion as a cause of transient neurologic deterioration after extracranial-intracranial bypass for moyamoya disease: comparative study with non-moyamoya patients using N-isopropyl-p-[(123)I]iodoamphetamine single-photon emission computed tomography. Neurosurgery. 2011;68(4):957–64; discussion 964-5.
Fujimura M, Tominaga T. Lessons learned from moyamoya disease: outcome of direct/indirect revascularization surgery for 150 affected hemispheres. Neurol Med Chir (Tokyo). 2012;52(5):327–32.
Zhao WG, et al. Cerebral hyperperfusion syndrome after revascularization surgery in patients with moyamoya disease. Br J Neurosurg. 2013;27(3):321–5.
Abd-El-Barr MM, et al. Recombinant human bone morphogenetic protein-2 as an adjunct for spine fusion in a pediatric population. Pediatr Neurosurg. 2011;47(4):266–71.
Zhao M, et al. Risk factors for and outcomes of postoperative complications in adult patients with moyamoya disease. J Neurosurg. 2018;1:1–12.
Bacigaluppi S, et al. The contribution of imaging in diagnosis, preoperative assessment, and follow-up of moyamoya disease: a review. Neurosurg Focus. 2009;26(4):E3.
Fujimura M, et al. Efficacy of prophylactic blood pressure lowering according to a standardized postoperative management protocol to prevent symptomatic cerebral hyperperfusion after direct revascularization surgery for moyamoya disease. Cerebrovasc Dis. 2012;33(5):436–45.
Inoue T, et al. Annual rupture risk of growing unruptured cerebral aneurysms detected by magnetic resonance angiography. J Neurosurg. 2012;117(1):20–5.
Sekhar LN, et al. Cerebral revascularization for ischemia, aneurysms, and cranial base tumors. Neurosurgery. 2008;62(6 Suppl 3):1373–408; discussion 1408-10.
Jung YJ, et al. Ischemic complications occurring in the contralateral hemisphere after surgical treatment of adults with moyamoya disease. J Korean Neurosurg Soc. 2011;50(6):492–6.
Uchino H, et al. Edaravone reduces hyperperfusion-related neurological deficits in adult moyamoya disease: historical control study. Stroke. 2016;47(7):1930–2.
Fujimura M, et al. Minocycline prevents focal neurological deterioration due to cerebral hyperperfusion after extracranial-intracranial bypass for moyamoya disease. Neurosurgery. 2014;74(2):163–70; discussion 170.
Matsushima Y, et al. Perioperative complications of encephalo-duro-arterio-synangiosis: prevention and treatment. Surg Neurol. 1991;36(5):343–53.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Nammour, E., Nada, E. (2020). Management of Patient with Moyamoya Disease. In: Prabhakar, H., Rajan, S., Kapoor, I., Mahajan, C. (eds) Problem Based Learning Discussions in Neuroanesthesia and Neurocritical Care. Springer, Singapore. https://doi.org/10.1007/978-981-15-0458-7_13
Download citation
DOI: https://doi.org/10.1007/978-981-15-0458-7_13
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-15-0457-0
Online ISBN: 978-981-15-0458-7
eBook Packages: MedicineMedicine (R0)