The Study Of Surgical Management Reduce The Incidence Of Intracerebral Hemorrhage Of Moyamoya Disease The Clinical Course And Treatment Of Moyamoya Disease

Objective:Through the analysis of the prognosis of moyamoya disease that after treatment,explore the therapeutic effect of these treatments.Introduce our experience of the treatment of moyamoya disease-especially the hemorrhagic moyamoya disease,determine if surgery is the the best treatment for the patients.Methods: Retrospective analysis of 73 patients with moyamoya disease were admitted in Neurosurgery, Tongji Hospital, Huazhong Science and Technology between August 2000 to August 2009 (59 cases is hemorrhagic,14 cases is Ischemic). Research the epidemiology of the diseases. Patients were taken to surgery or conservative treatment,then they were followed up,Then approach if surgical management could reduce the incidence of intracerebral hemorrhage of moyamoya diseaseResults: In the 73cases of our Hospital,the number of pediatric patients is small(5 cases),there are 56 cases with hemorrhagic (82.35%) and 12 cases(17.65%) with Ischemic in adult moyamoya disease.In the 62 cases which meet the requirements of this group, 36 cases underwent conservative treatment,22 patients underwent unilateral bypass(STA-MCA or STA-MCA+EMS), 4 patients underwent lateral direct bypass(STA-MCA or STA-MCA+EMS). 6 cases underwent conservative treatment were cerebral hemorrhage, 1cases that were operated occured cerebral hemorrhage. 3 cases'symptoms of the patients with cerebral ischemic after surgical treatment were improved.Conclusion: Age distribution and clinical features of patients in this group is different with literature. the reason may be the regional difference, it may be because of people lack awareness of child moyamoya disease. The bleeding rate of patients with surgical treatment is lower then patients with conservative treatment.