Korean J Anesthesiol.  2005 Sep;49(3):438-442. 10.4097/kjae.2005.49.3.438.

Development of Brain Infarction after Extracranial-Intracranial Bypass Surgery in a Patient with Moyamoya Disease: A case report

• Kim JY
• Lee DH
• Oh YT

• KMID: 2299151
• DOI: http://doi.org/10.4097/kjae.2005.49.3.438

Abstract

Moyamoya disease is characterized by a narrowing or occlusion of both internal carotid arteries in the presence of an abnormal hemangiomatosis vascular network at the base of the brain. These patients increasingly present for surgical management to improve the cerebral circulation. However, surgery may be complicated by cerebral ischemia, and thus patients require particular care during the perioperative period. The risk factors of perioperative ischemic complications include the presence of a preoperative low density area by computed tomography, the occurrence of frequent preoperative transient ischemic attacks, or hypocapnia or hypotension. We describe one case of general anesthesia for superficial temporal artery to middle cerebral artery anastomosis (STA-MCA) with encephalomyosynangiosis (EMS) in a moyamoya disease patient. The patient expired because of a developing cerebral infarction on the fifth postoperative day.

Keyword

brain infarction; moyamoya disease

MeSH Terms

Anesthesia, General
Brain Infarction*
Brain Ischemia
Brain*
Carotid Artery, Internal
Cerebral Infarction
Humans
Hypocapnia
Hypotension
Ischemic Attack, Transient
Middle Cerebral Artery
Moyamoya Disease*
Perioperative Period
Risk Factors
Temporal Arteries