How I do it: operative nuances of multiple burr hole surgery for moyamoya disease and syndrome.

Abstract:

BACKGROUND:Burr hole surgery for moyamoya disease and moyamoya syndrome is known to be an effective, versatile, and relatively simple revascularization technique. We will focus on the technical operative aspects of multiple burr hole surgery as we perform it in our center. METHODS:Periosteal flaps are prepared and placed in a burr hole with beveled edge, after opening the dura and arachnoid membrane, in order to facilitate neovascularization into the ischemic cortex. CONCLUSIONS:Burr hole surgery is a versatile treatment modality for moyamoya and moyamoya-like disease. Success can be maximized by having a meticulous operative technique.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Lavrysen E,Menovsky T

doi

10.1007/s00701-018-3743-1

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

171-175

issue

1

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-018-3743-1

journal_volume

161

pub_type

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