Use of the Posterior Auricular Artery for Indirect Bypass in Moyamoya: A Pediatric Case Series.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Pediatric Neurosurgery Pub Date : 2023-01-01 DOI:10.1159/000529735

J Chris Hawkins, Megan V Ryan, Sarah Graber, Ilana Neuberger, Jodi Slade, Michael Young, John A Maloney, C Corbett Wilkinson

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引用次数: 0

Abstract

Introduction: Encephaloduroarteriosynangiosis (EDAS) for moyamoya is predominantly performed using a branch of the superficial temporal artery (STA) as the donor artery. At times, other branches of the external carotid artery are better suited for EDAS than is the STA. There is little information in the literature concerning using the posterior auricular artery (PAA) for EDAS in the pediatric age-group. In this case series, we review our experience using the PAA for EDAS in children and adolescents.

Case presentations: We describe the presentations, imaging, and outcomes of 3 patients in whom the PAA was used for EDAS, as well our surgical technique. There were no complications. All 3 patients were confirmed to have radiologic revascularization from their surgeries. All patients also had improvement of their preoperative symptoms, and no patient has had a stroke postoperatively.

Conclusion: The PAA is a viable option for use as a donor artery in EDAS for the treatment of moyamoya in children and adolescents.

查看原文本刊更多论文

使用耳后动脉间接旁路治疗烟雾症:一个儿科病例系列。

简介:烟雾症的脑硬动脉合并症(EDAS)主要使用颞浅动脉(STA)的分支作为供体动脉。有时，颈外动脉的其他分支比STA更适合EDAS。关于在儿童年龄组使用耳后动脉(PAA)治疗EDAS的文献资料很少。在本案例系列中，我们回顾了在儿童和青少年中使用PAA治疗EDAS的经验。病例报告:我们描述了3例使用PAA进行EDAS的患者的表现、影像和结果，以及我们的手术技术。没有并发症。3例患者均经手术证实有放射学血运重建术。所有患者术前症状均有改善，术后无卒中发生。结论:PAA作为EDAS供动脉治疗儿童和青少年烟雾是可行的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Neurosurgery 医学-临床神经学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Articles in ''Pediatric Neurosurgery'' strives to publish new information and observations in pediatric neurosurgery and the allied fields of neurology, neuroradiology and neuropathology as they relate to the etiology of neurologic diseases and the operative care of affected patients. In addition to experimental and clinical studies, the journal presents critical reviews which provide the reader with an update on selected topics as well as case histories and reports on advances in methodology and technique. This thought-provoking focus encourages dissemination of information from neurosurgeons and neuroscientists around the world that will be of interest to clinicians and researchers concerned with pediatric, congenital, and developmental diseases of the nervous system.