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