血管造影对Moyamoya病的临床意义

The value of angiography for Moyamoya disease

目的 分析 8例Moyamoya病的血管造影表现 ,评价血管造影对Moyamoya病的临床价值。 方法 3例行超选择性血管造影 ,5例行DSA。结果 8例患者均显示双侧颈内动脉末端、大脑前动脉及大脑中动脉起始段狭窄或闭塞、烟雾血管及广泛侧枝血管。结论 血管造影可清晰显示烟雾病血管狭窄程度或闭塞的部位及侧枝循环情况 。

Objective To analyze the findings of conventional cerebal angiography and evaluate the value of angiography for the Moyamoya disease. Methods The 8 cases with moyamoya disease were examined by angiography. Results The angiographic findings of the 8 patients consis of the stenosis or occlusion of the supraclinoid portion of internal carotid artery and proximal portion of the anterior and middle cerebral arteries and extensive parenchymal,leptomeningeal,and transdural collaterals. Conclusion The angiography could clearly show occlusion or stenosis of the supraclinoid portion of internal carotid artery and proximal portion of the anterior and middle cerebral arteries and directly provide surgery with imaging of moyamoya disease as well.