论文部分内容阅读
典型Moyamoya病是一个双侧颈动脉分叉部狭窄闭合的过程。单侧典型Moyamoya血管成像表现且对侧正常或可疑血管成像表现是否为典型(双侧)Moyamoya病一直是有争论的。 材料和方法:本文研究对象为日本北海道大学附属医院及分院1986～1995年的10年间收治的10例单侧Moyamoya病例。其中4例儿童,6例成人,年龄为4～56岁,男女各5人,均接受了常规的脑血管造影或数字检影(DSA)检查。如有单侧典型Moyamoya病血管成像表现者,诸如颈内动脉终末部狭窄闭塞改变且为单侧发病,而对侧血管成像正常或微小可疑狭窄表现即诊断为单侧Moyamoya病。与此类似的系统性疾病在此研究中被排除。所有病人在外科治疗前进行了常规血管成像或DSA检查做为对比,术后行磁共振血管成像(MRA)、
A typical Moyamoya disease is a narrow occlusion of the bilateral carotid bifurcation. It has been debated whether unilateral Moyamoya angiography is typical and whether contralateral normal or suspicious vascular imaging is typical (bilateral) Moyamoya disease. Materials and Methods: This study was conducted in 10 unilateral Moyamoya cases admitted to Hokkaido University Hospital and Branch Hospital in Japan during 10 years from 1986 to 1995. Four of these children, six adults, aged 4 to 56 years and five men and women each, underwent routine cerebrovascular angiography or digital retinoscopy (DSA). In patients with unilateral unilateral Moyamoya disease angiographic findings, changes such as a terminal occlusion of the internal carotid artery that is unilaterally occluded and unilateral Moyamoya disease is diagnosed with normal or minimally suspected contralateral angiography. Systematic diseases like this were excluded in this study. All patients underwent conventional angiography or DSA before surgical treatment. Magnetic resonance angiography (MRA) was performed after surgery.