Analysis of curative effect of the combined revascularization on Moyamoya disease

Objective To explore the curative effect of the combined revascularization on Moyamoya disease.Methods The clinical data of 21 patients with Moyamoya disease treated by the combined revascularization including superficial temporal artery middle cerebral artery bypass and encephalo-myo-synagiosis (STA-MCA Bypass + EMS) from January,2006 to March,2011 were analyzed retrospectively.The neurological function was evaluated by modified Rankin Scale (mRS) before the surgery and 1 week and 3 months after the surgery.No patients died.Results The intracranial hematomas did not occurred after the surgery in all the patients.The postoperative MRA or CTA examination showed that all the anatomosed arteries were clear.The outcomes of mRS showed that the neurological function was significantly better 3 months after the surgery than that before the surgery in the patients with Moyamoya disease (P 0.05).Conclusion The symptoms may be significantly improved by the combined revascularization in the patients with Moyamoya disease.