Encephaloduroarterio-synangiosis in a child with sickle cell anemia and moyamoya disease

Détails

ID Serval
serval:BIB_5CB5C4D10421
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Encephaloduroarterio-synangiosis in a child with sickle cell anemia and moyamoya disease
Périodique
Pediatric Neurology
Auteur(s)
Vernet  O., Montes  J. L., O'Gorman  A. M., Baruchel  S., Farmer  J. P.
ISSN
0887-8994 (Print)
Statut éditorial
Publié
Date de publication
04/1996
Volume
14
Numéro
3
Pages
226-30
Notes
Case Reports
Journal Article --- Old month value: Apr
Résumé
We report a black girl with sickle cell anemia. On prophylactic exchange transfusion protocol, she experienced cerebrovascular accidents at 3 and 3.5 years of age, both associated with transient right hemiparesis. At 7.5 years of age, she presented with a partial motor seizure and a left hemiparesis. A cerebral angiogram demonstrated stenosis at the origins of both middle and anterior cerebral arteries bilaterally with extensive basal collateralization. She underwent uncomplicated bilateral encephaloduroarteriosynangiosis (EDAS) procedures using both superficial temporal arteries. At age 9 years, the patient presented with a severe headache and tunnel vision secondary to a stenosis of both posterior cerebral arteries. She underwent bilateral EDAS procedures using both occipital arteries. No complication was encountered. Postoperative cerebral angiogram demonstrated impressive neovascularity at the sites of all four EDAS procedures. Different treatment options of moyamoya disease are discussed.
Mots-clé
Anemia, Sickle Cell/*complications Cerebral Angiography Cerebral Arteries/*transplantation Child, Preschool Female Humans Moyamoya Disease/*complications/radiography/*surgery Occipital Lobe/blood supply Scalp/*blood supply Temporal Arteries/transplantation *Tissue Transplantation
Pubmed
Web of science
Création de la notice
25/01/2008 14:13
Dernière modification de la notice
20/08/2019 15:15
Données d'usage