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題 名 | Micro-anastomosis of Superficial Temporal Artery to Middle Cerebral Artery and Encephalo-duro-arterio-myo-synangiosis Surgery for Treatment of Moyamoya Disease=以淺顳動脈顯微吻合至中大腦動脈及腦硬腦膜動脈肌肉連通術來治療毛毛樣疾病 |
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作 者 | 張智皓; 戴碩瑩; 蔡佳津; 李京軒; 黃致遠; 李曜洲; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 27:1 2018.03[民107.03] |
頁 次 | 頁61-68 |
分類號 | 416.211 |
關鍵詞 | 毛毛樣疾病; 顱內血行動力學; 缺血性中風; 血管繞道手術; Bypass; Moyamoya; Revascularization; |
語 文 | 英文(English) |
中文摘要 | 背景:毛毛樣疾病是個不常見但卻會導致失能的疾病。其會造成內頸動脈末端分支的逐漸狹窄,並且導致不正常顱內血行動力學,進而引起較常見的缺血性中風以及少部分的出血性中風。目前真正的致病機轉尚未明瞭,並且尚無有效之藥物可治療此疾病。截至目前,直接或間接的血管繞道手術仍是公認最有效的治療方式,可改善顱內血行動力學以及臨床預後。材料及方法:一名五十四歲的男性患者,近一年來有著間歇性且逐漸變嚴重的左半身感覺異常。顱內血管攝影顯示了右內頸動脈末端分支的阻塞,以及典型的如同一團煙霧般的側枝循環血管,走至中大腦動脈灌流的區域。我們將表淺顳動脈以顯微手術端對側的方式,接合至中大腦動脈的皮質分支處;並且合併使用了腦-硬腦膜-動脈-肌肉連通術作為間接血管繞道手術給予治療。結果:此病患左半身感覺異常的症狀於術後即得到了改善,並且一星期後的顱內血管攝影顯現接合處仍然暢通。並且截至術後九個月之後,仍沒有觀察到任何神經學後遺症。結論:顱外顱內血管繞道手術至今仍是針對毛毛樣疾病最有效的治療方式,但是此手術所需要的顯微接合技巧卻相當困難。透過整形重建外科醫師跟神經外科醫師的合作,不只可以達到更好的手術結果,更可以持續的拓展顯微重建外科的疆界與範疇。 |
英文摘要 | Background: Moyamoya disease is an uncommon yet disabling disease that can cause progressive stenosis of terminal branch of internal carotid artery, resulting in mostly ischemic strokes and less often hemorrhagic strokes due to aberrant cerebral hemodynamics. Definite etiology remains unclear and no medical treatment is effective. As of now surgery with direct or indirect bypass serves as recognized therapy to improve cerebral hemodynamics and the clinical outcome. Material and method: A 54-year-old male presented with deteriorating intermittent left hemiparesthesia for one year. Angiography revealed stenosis above the right supraclinoid internal carotid artery level, accompanied with typical “puff-of-smoke” like collateral vessels to the right middle cerebral artery territory. Direct revascularization was performed with micro-anastomosis of superficial temporal artery to the cortical branch of middle cerebral artery in an end-to-side fashion, along with indirect bypass by encephalo-duroarterio- myo-synangiosis surgery. Result: The hemiparesthesia symptoms improved immediately after the surgery and the angiography one week after the surgery revealed patency of the anastomosis. Moreover, no neurologic sequela was recorded after nine months post-operatively. Conclusion: Surgical direct or indirect extracranial-intracranial bypass is by far the most effective treatment for moyamoya disease, whereas the micro-anastomosis is technically demanding. Through the great alliance of neuro-surgeon and plastic reconstructive surgeon, not only could we attain better surgical outcome but also extend the frontiers of reconstructive microsurgery to further extent. |
本系統中英文摘要資訊取自各篇刊載內容。