How I do it: operative nuances of multiple burr hole surgery for moyamoya disease and syndrome.
Burr holes
Extracranial-intracranial bypass
Indirect revascularization
Moyamoya disease
Moyamoya syndrome
Multiple burr hole surgery
Pediatric neurosurgery
Journal
Acta neurochirurgica
ISSN: 0942-0940
Titre abrégé: Acta Neurochir (Wien)
Pays: Austria
ID NLM: 0151000
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
02
09
2018
accepted:
16
11
2018
pubmed:
27
11
2018
medline:
18
12
2019
entrez:
27
11
2018
Statut:
ppublish
Résumé
Burr hole surgery for moyamoya disease and moyamoya syndrome is known to be an effective, versatile, and relatively simple revascularization technique. We will focus on the technical operative aspects of multiple burr hole surgery as we perform it in our center. Periosteal flaps are prepared and placed in a burr hole with beveled edge, after opening the dura and arachnoid membrane, in order to facilitate neovascularization into the ischemic cortex. Burr hole surgery is a versatile treatment modality for moyamoya and moyamoya-like disease. Success can be maximized by having a meticulous operative technique.
Sections du résumé
BACKGROUND
Burr hole surgery for moyamoya disease and moyamoya syndrome is known to be an effective, versatile, and relatively simple revascularization technique. We will focus on the technical operative aspects of multiple burr hole surgery as we perform it in our center.
METHODS
Periosteal flaps are prepared and placed in a burr hole with beveled edge, after opening the dura and arachnoid membrane, in order to facilitate neovascularization into the ischemic cortex.
CONCLUSIONS
Burr hole surgery is a versatile treatment modality for moyamoya and moyamoya-like disease. Success can be maximized by having a meticulous operative technique.
Identifiants
pubmed: 30474750
doi: 10.1007/s00701-018-3743-1
pii: 10.1007/s00701-018-3743-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
171-175Commentaires et corrections
Type : CommentIn