• World Neurosurg · Sep 2019

    Middle meningeal-middle cerebral artery anastomosis for Moyamoya disease: A case report.

    • Shigeomi Yokoya, Akihiko Hino, Yukihiro Goto, and Hideki Oka.
    • Department of Neurosurgery, Saiseikai Shiga Hospital, Imperial Gift Foundation Inc., Ritto, Shiga, Japan. Electronic address: yokoya@ks.kyorin-u.ac.jp.
    • World Neurosurg. 2019 Sep 1; 129: 5-8.

    BackgroundWe describe a unique anastomosis procedure involving successful middle meningeal artery (MMA) to cortical middle cerebral artery (MCA) bypass, as well as superficial temporal artery (STA) to cortical MCA bypass.Case DescriptionA 46-year-old woman with hemorrhagic Moyamoya disease underwent an anastomosis procedure with the MMA and STA serving as donor arteries. We performed a small craniotomy at the areas closest to the donor STA, MMA, and recipient cortical MCA, and completed STA-MCA and MMA-MCA direct bypass procedures.ConclusionsThis is a rare case of successful MMA-to-MCA revascularization to prevent rebleeding in a patient with Moyamoya disease. The MMA can be used as a donor artery for extracranial-intracranial anastomosis procedures in clinical practice settings.Copyright © 2019 Elsevier Inc. All rights reserved.

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