Moyamoya Disease in an 8-Year-Old Boy : Direct Bypass Surgery in a Province of Peru

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Choque-Velasquez , J , Colasanti , R , Kozyrev , D A , Hernesniemi , J & Kawashima , A 2017 , ' Moyamoya Disease in an 8-Year-Old Boy : Direct Bypass Surgery in a Province of Peru ' , World Neurosurgery , vol. 108 , pp. 50-53 . https://doi.org/10.1016/j.wneu.2017.08.112

Title: Moyamoya Disease in an 8-Year-Old Boy : Direct Bypass Surgery in a Province of Peru
Author: Choque-Velasquez, Joham; Colasanti, Roberto; Kozyrev, Danil A.; Hernesniemi, Juha; Kawashima, Akitsugu
Other contributor: University of Helsinki, Clinicum
University of Helsinki, HUS Neurocenter
University of Helsinki, Clinicum
University of Helsinki, Neurokirurgian yksikkö



Date: 2017-12
Language: eng
Number of pages: 4
Belongs to series: World Neurosurgery
ISSN: 1878-8750
DOI: https://doi.org/10.1016/j.wneu.2017.08.112
URI: http://hdl.handle.net/10138/298145
Abstract: BACKGROUND: Pediatric moyamoya cases may be very arduous, even more so in a developing country, where access to specialized centers may be prevented by different factors. CASE DESCRIPTION: Herein we report a challenging case, which was managed in the new Neurosurgical Center of Trujillo, regarding the direct anastomosis between the left superficial temporal artery and a cortical branch of the left middle cerebral artery in a 8-year-old Peruvian boy with moyamoya disease. Postoperatively, the patient's motor deficits and aphasia improved. To the best of our knowledge, this is the first performance of a direct revascularization for a pediatric moyamoya case in Peru. CONCLUSIONS: The creation of highly specialized neurosurgical centers in the main strategic places of developing countries may allow optimal treatment of neurosurgical patients with complex diseases.
Subject: Bypass
Developing countries
Direct revascularization
Microneurosurgery
Pediatric moyamoya disease
STA-MCA
PROGRESS
HEALTH
ANASTOMOSIS
COST
3112 Neurosciences
3124 Neurology and psychiatry
3126 Surgery, anesthesiology, intensive care, radiology
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