国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

The Collateral Circulation in Moyamoya Disease: a Single Center Experience in 140 Pediatric Patients.

第一作者:Zhao, Meng

通讯作者:Zhao, Jizong

collaterals moyamoya disease pediatrics stroke

基本信息

  • 负责人:Zhao, Meng
  • 数据来源: OTHERS
  • 论文编号:OTHERS20190523
  • 发表时间:2017-12-01

2017-12-01

已发表文章

发表杂志:Pediatr Neurol

发表类型: Original Article

影响因子(IF): 3.372

PMID: 29107436 Pubmed原文链接 全文下载

主要研究背景及目的

方法

We reviewed consecutive pediatric patients with moyamoya vasculopathy who were admitted to our hospital from 2009 to 2015. Only pediatric moyamoya patients with digital subtraction angiography examinations were included in this study. We classified spontaneous collaterals into two groups by their origins, the internal carotid artery and vertebral artery (ICA-VA)-originated collaterals and the external carotid artery (ECA)-originated collaterals.

结论

Our results demonstrate that collaterals originating from ECAs are associated with advanced Suzuki stages and infarction presentations in children with moyamoya disease.

主要结果

A total of 140 pediatric patients with moyamoya disease (mean age, 10.1 ± 3.7 years) were included in this study. We identified collaterals originated from ICA-VA in 122 (87.1%) pediatric patients (222 hemispheres). Patients in the ICA-VA collaterals group had similar Suzuki stages with patients without collaterals originated from ICA-VA (mean, 3.86 vs 3.50; P = 0.157). We identified collaterals originated from ECAs in 70 (50.0%) pediatric patients (106 hemispheres) with moyamoya disease. The infarctions were more common in patients with ECA-originated collaterals than in patients without ECA-originated collaterals (25 versus 12; P = 0.021).