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Anaesthetic management of Moyamoya disease in a six-year-old child: Anaesthetic management of Moyamoya disease

Authors :
Singhal Shubhi
Banerjee Neerja Gaur
Bharti Devang
Kaur Mohandeep
Source :
Serbian Journal of Anesthesia and Intensive Therapy, Vol 42, Iss 7-8, Pp 135-137 (2020)
Publication Year :
2020
Publisher :
Serbian Society of Anesthesiologists and Intensivists, 2020.

Abstract

Introduction: Moyamoya disease is a rare form of the chronic cerebrovascular disorder. Patients develop progressive stenosis or occlusion of the terminal portion of the internal carotid arteries and a proximal portion of the anterior and middle cerebral arteries. The compensatory collateral circulation that develops is weak and small, prone to hemorrhage, aneurysm, and thrombosis. Case Report: We report a case of a six-year-old boy with Moyamoya disease, presenting with complaints of seizures and weakness of the left side of the body. A bilateral encephalo-myo-synangiosis (EMS) was successfully performed on the child under general anesthesia without any perioperative complications. Conclusion: Revascularization surgery in a patient with Moyamoya disease is a high-risk procedure with an increased incidence of perioperative neurological sequelae. However, patients can be successfully perioperatively managed by ensuring adequate cerebral blood flow and minimizing cerebral metabolic oxygen consumption rates.

Details

Language :
English, Serbian
ISSN :
2466488X
Volume :
42
Issue :
7-8
Database :
Directory of Open Access Journals
Journal :
Serbian Journal of Anesthesia and Intensive Therapy
Publication Type :
Academic Journal
Accession number :
edsdoj.8a4c0e8272da4c2f99e0991309bb259b
Document Type :
article
Full Text :
https://doi.org/10.5937/sjait2008135S