caa a22 4500 463180186 CHVBK 20180406164836.0 cr unu---uuuuu 170326e20071001xx s 000 0 eng 10.1007/s00381-007-0361-2 doi (NATIONALLICENCE)springer-10.1007/s00381-007-0361-2 Symptomatic hyperperfusion after superficial temporal artery-middle cerebral artery anastomosis in a child with moyamoya disease [Elektronische Daten] [Miki Fujimura, Tomohiro Kaneta, Hiroaki Shimizu, Teiji Tominaga] Object: Surgical revascularization for moyamoya disease prevents cerebral ischemic attacks by improving cerebral blood flow (CBF). It is undetermined, however, how rapid increase in CBF affects ischemic brain at acute stage, especially in children. Case report: A 4-year-old girl with moyamoya disease underwent right superficial temporal artery-middle cerebral artery (STA-MCA) anastomosis. She suffered temporary left facial palsy 5days after surgery. Postoperative N-isopropyl-p-[123I]iodoamphetamine single-photon emission computed tomography (123I-IMP-SPECT) revealed focal intense increase in CBF at the sites of anastomosis. Magnetic resonance imaging/angiography showed the apparently patent STA-MCA anastomosis as a thick high signal without ischemic changes. Her symptom improved 9days after surgery, and single-photon emission computed tomography (SPECT) 2months later showed normalization of CBF. Surgical revascularization completely relieved the transient ischemic attack on her left hand that was seen before surgery. Conclusion: We demonstrated, for the first time, that delayed focal neurological deficit after STA-MCA anastomosis can be caused by focal hyperperfusion in childhood moyamoya disease. Springer-Verlag, 2007 Moyamoya disease nationallicence Superficial temporal artery-middle cerebral artery anastomosis nationallicence Hyperperfusion nationallicence Single-photon emission computed tomography nationallicence Fujimura Miki Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut Kaneta Tomohiro Department Radiology, Tohoku University School of Medicine, Sendai, Japan aut Shimizu Hiroaki Department of Neurosurgery, Kohnan Hospital, Sendai, Japan aut Tominaga Teiji Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut Child's Nervous System Springer-Verlag 23/10(2007-10-01), 1195-1198 0256-7040 23:10<1195 2007 23 381 https://doi.org/10.1007/s00381-007-0361-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-007-0361-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fujimura Miki Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut NATIONALLICENCE 700 1- Kaneta Tomohiro Department Radiology, Tohoku University School of Medicine, Sendai, Japan aut NATIONALLICENCE 700 1- Shimizu Hiroaki Department of Neurosurgery, Kohnan Hospital, Sendai, Japan aut NATIONALLICENCE 700 1- Tominaga Teiji Department of Neurosurgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/10(2007-10-01), 1195-1198 0256-7040 23:10<1195 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer