MAGNETIC-RESONANCE ANGIOGRAPHY IN THE MANAGEMENT OF CHILDHOOD MOYAMOYA DISEASE - FIRST CHOICE FOR NEUROVASCULAR SCRUTINY

被引:8
作者
MAKIYAMA, Y [1 ]
NISHIMOTO, H [1 ]
AIHARA, T [1 ]
TSUBOKAWA, T [1 ]
机构
[1] NIHON UNIV,SCH MED,DEPT NEUROL SURG,TOKYO 173,JAPAN
来源
SURGICAL NEUROLOGY | 1994年 / 42卷 / 01期
关键词
CHILDHOOD; DIAGNOSIS; MAGNETIC RESONANCE ANGIOGRAPHY; MOYAMOYA DISEASE;
D O I
10.1016/0090-3019(94)90247-X
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We performed magnetic resonance angiography (MRA) in 12 children with a suspected or angiographically proven moyamoya disease. MRA was performed by the three-dimensional, time-of-flight technique and, successfully depicted the primary abnormalities in the distal carotid arteries in 10 out of of the 12 patients. In the other two patients, poor visualization of the intracranial vasculature strongly suggested the presence of the disease. On MRA, moyamoya vessels were visible in eight patients. The presence of anastomoses was also confirmed by MRA in seven of the 10 patients who had undergone encephalo-duro-arterio-synangiosis. Our findings suggest that MRA may be the tool of choice for selecting patients to undergo conventional angiography. However, establishing a definite diagnosis still requires some improvements in the delineation of the fine vasculature.
引用
收藏
页码:32 / 40
页数:9
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