Operation of superficial temporal artery-middle cerebral artery(STA-MCA)bypass combined with temporal muscle sticking therapy adult moyamoya disease

Abstract

Objective To investigate the clinical effect of operation of superficial temporal artery-middle cerebral artery(STA-MCA)bypass combined with temporal muscle sticking in the treatment of adult moyamoya disease. Methods A retrospective analysis was the data of operation, including preoperative evaluation, operation method,postoperative follow-up. Results Postoperative complications occurred in 5 cases, including 3 cases of intracranial hemorrhage,2 cases of cerebral infarction. During the follow-up of 6-35 months, no recurrent hemorrhage cases,1 cases of cerebral infarction, TIA remission rate was 93.5%. Postoperative cerebral blood flow of 38 cases significantly improved compared with preoperative by SPET, accounted for 86.3%. Cerebral blood flow of 41 cases was well compensated by vascular bridge, accounted for 91%. Conclusion Operation of STA-MCA bypass combined with temporal muscle sticking can significantly reduce the incidence of stroke, fewer complications, which is an ideal method in the treatment of adult moyamoya disease. Key words: Moyamoya Disease; Surgical Procedures, Operative; Treatment Outcome