Akitsugu Kawashima
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Associate Professor
Article types Case report
Language English
Peer review Peer reviewed
Title Moyamoya Disease in an 8-Year-Old Boy: Direct Bypass Surgery in a Province of Peru.
Journal Formal name:World neurosurgery
Abbreviation:World Neurosurg
ISSN code:18788769/18788750
Domestic / ForeginForegin
Volume, Issue, Page 108,pp.50-53
Author and coauthor Choque-Velasquez Joham, Colasanti Roberto, Kozyrev Danil A, Hernesniemi Juha, Kawashima Akitsugu
Authorship Last author
Publication date 2017/12
Summary 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