모야모야병에서 두개절제술 시행 후 광배근 유리 피판술을 이용한 치료 1례

• 영문명: A case of latissumus dorsi muscular free flap coverage in a patient with moyamoya disease
• 발행기관: 대한두개저학회
• 저자명: 양성혁(Seong Hyeok Yang) 한상철(Sang Chul Han) 김정태(Jung Tae Kim) 김연환(Youn Hwan Kim)
• 간행물 정보: 『대한두개저학회지』제6권 제1호, 19~21쪽, 전체 3쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2011.06.30

영문 초록

Moyamoya disease is a cerebrovascular disease of unknown etiology, which leads to a narrowing or occlusion of both internal carotid arteries in the presence of an abnormal hemangiomatosis vascular network at the base of the brain. The efficacy of encephalo-myosynangiosis (EMS) using muscle free flap was evaluated for the treatment of ischemic cerebrovascular disease in adult patients. A 36-year-old man presented right side motor weakness and mental change. The neurological examination and image work up revealed intracranial hemorrhage with moyamoya disease. In this case, latissimus dorsi muscular free flap were used for increased perfusion of the ischemic cortical region by indirect anastomosis. Cerebral blood flow study disclosed postoperative improvement of perfusion reserve capacity in all sides. EMS using muscle free flap is a possible procedure in selected patients with impaired cerebral perfusion reserve capacity due to multiple stenosis or occlusion of cerebral arteries including moyamoya disease.

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키워드

moyamoya disease vascular enhancement latissimus dorsi muscular free flap