[Treatment of pediatric ischemia moyamoya disease by direct bypass combined with multiple burr hole].

OBJECTIVE

To investigate the treatment outcome of superficial temporal artery-middle cerebral artery bypass (STA-MCA) combined with multiple burr hole (MB) in pediatric ischemia moyamoya disease.

METHOD: A total of 31 pediatric patients with ischemic moyamoya disease who were admitted to Beijing Tiantan hospital from 2010 to 2013 were divided into two groups which were STA-MCA + MB surgery group (n = 16) and STA-MCA surgery only group (n = 15).

RESULTS

In all patients, the number of patients with symptom improvement was 24 (77.4%), the number of patients with no symptom improvement was 5 (16.1%) and with symptom deterioration was 2 (6.5%). The postoperative modified rankin scale (mRS) in STA-MCA + MB group was significantly lower than that in STA-MCA group (P < 0.05).

CONCLUSION

The treatment outcome of STA-MCA combined with MB is superior to STA-MCA bypass surgery only and doesn't increase the incidence of complication.