カワシマ　アキツグ   Akitsugu Kawashima   川島　明次    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Moyamoya Disease in an 8-Year-Old Boy: Direct Bypass Surgery in a Province of Peru.
掲載誌名	正式名：World neurosurgery 略　 称：World Neurosurg ISSNコード：18788769/18788750
掲載区分	国外
巻・号・頁	108,pp.50-53
著者・共著者	Choque-Velasquez Joham, Colasanti Roberto, Kozyrev Danil A, Hernesniemi Juha, Kawashima Akitsugu
担当区分	最終著者
発行年月	2017/12
概要	BACKGROUND:Pediatric moyamoya cases may be very arduous, even more so in a developing country, where access to specialized centers may be prevented by different factors.CASE DESCRIPTION:Herein we report a challenging case, which was managed in the new Neurosurgical Center of Trujillo, regarding the direct anastomosis between the left superficial temporal artery and a cortical branch of the left middle cerebral artery in a 8-year-old Peruvian boy with moyamoya disease. Postoperatively, the patient's motor deficits and aphasia improved. To the best of our knowledge, this is the first performance of a direct revascularization for a pediatric moyamoya case in Peru.CONCLUSIONS:The creation of highly specialized neurosurgical centers in the main strategic places of developing countries may allow optimal treatment of neurosurgical patients with complex diseases.
DOI	10.1016/j.wneu.2017.08.112
PMID	28844915