MOYAMOYA SIGNO, SÍNDROME, ENFERMEDAD Y FENOMENO, ANGIOMIOSILVIANOSINANGIOSIS, ESTADO DEL ARTE Y REVISION DE LA LITERATURA, AÑO 2020
DOI:
https://doi.org/10.51437/nj.v26i3.163Palabras clave:
cirugía indirecta, bypass, silviosinangiosis, base de cráneo.Resumen
La Enfermedad de MoyaMoya, es una enfermedad de presentación rara, que afecta principalmente a la población pediátrica, se manifiesta rápidamente progresiva, es irreversible, deja grandes secuelas y si no se trata de manera idónea y efectiva, genera una gran carga de morbimortalidad.
En la historia de la medicina quedaron descritas, para su corrección quirúrgica las técnicas directas, “anastomosis vasculares” que exigían ser realizadas en grandes centros de referencia, por personal entrenado, de larga duración, presentaban morbimortalidad importante, que condicionaba una serie de barreras.
Esta enfermedad no responde a manejo médico, su tratamiento actual y definitivo es la cirugía, pero la mejor opción son las técnicas indirectas, llamadas “sinangiosis” (colgajos) que se pueden practicar de manera oportuna, son actos quirúrgicos cortos, tan eficaces como las técnicas directas, pero con menos morbimortalidad, a largo plazo.
Nuestra propuesta es adicionar a las técnicas indirectas, un flap pediculado de musculo temporal al valle silviano abierto, previa apertura de cisternas de la base y contacto directo con estructuras vasculares mayores, logrando así un bypass hacia la base del cerebro, que hasta el momento no se han descrito y complementaria la angiogénesis, ya conocida de la convexidad provista por las técnicas convencionales indirectas, logrando un aporte sanguíneo al cerebro de manera circunferencial y corrigiendo el daño subyacente primario en las grandes arterias de la base.
Citas
Arias EJ, Derdeyn CP, Dacey RG, Zipfel GJ. Advances and Surgical Considerations in the Treatment of Moyamoya Disease. Neurosurgery [Internet]. 2014 Feb 1 [cited 2019 Jun 21];74(suppl_1):S116–25. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000229
Arikan F, Vilalta J, Torne R, Noguer M, Lorenzo-Bosquet C, Sahuquillo J. Rapid Resolution of Brain Ischemic Hypoxia After Cerebral Revascularization in Moyamoya Disease. Neurosurgery [Internet]. 2015 Mar 1 [cited 2019 Jun 13];76(3):302–12. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000609
Bang JS, Kwon O-K, Kim JE, Kang H-S, Park H, Cho SY, et al. Quantitative Angiographic Comparison With the OSIRIS Program Between the Direct and Indirect Revascularization Modalities in Adult Moyamoya Disease. Neurosurgery [Internet]. 2012 Mar 1 [cited 2019 Jun 13];70(3):625–33. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0b013e3182333c47
Blauwblomme T, Mathon B, Naggara O, Kossorotoff M, Bourgeois M, Puget S, et al. Long-term Outcome After Multiple Burr Hole Surgery in Children With Moyamoya Angiopathy: A Single-Center Experience in 108 Hemispheres. Neurosurgery [Internet]. 2017 Jun 1 [cited 2019 Jun 13];80(6):950–6. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1093/neuros/nyw161
Chiarelli PA, Patel AP, Lee A, Chandra SR, Sekhar LN. Sternocleidomastoid Encephalomyosynangiosis for Treatment-Resistant Moyamoya Disease. Oper Neurosurg [Internet]. 2018 Aug 30 [cited 2019 Jun 13]; Available from: https://academic.oup.com/ons/advance-article/doi/10.1093/ons/opy234/5087990
Deng X, Ge P, Wang S, Zhang D, Zhang Y, Wang R, et al. Treatment of Moyamoya Disease. Neurosurgery [Internet]. 2018 Sep 1 [cited 2019 Jun 13];65(CN_suppl_1):62–5. Available from: https://academic.oup.com/neurosurgery/article/65/CN_suppl_1/62/5074850
Deng X, Zhang D, Zhang Y, Wang R, Gao F, Zhao J. 117 Effects of Different Surgical Modalities on Clinical Outcome of Moyamoya Disease: A Prospective Cohort Study. Neurosurgery [Internet]. 2017 Sep 1 [cited 2019 Jun 13];64(CN_suppl_1):225–225. Available from:
https://academic.oup.com/neurosurgery/article/64/CN_suppl_1/225/4834204
Dusick JR, Gonzalez NR, Martin NA. Clinical and Angiographic Outcomes From Indirect Revascularization Surgery for Moyamoya Disease in Adults and Children: A Review of 63 Procedures. Neurosurgery [Internet]. 2011 Jan 1 [cited 2019 Jun 13];68(1):34–43. Available from: https://academic.oup.com/neurosurgery/article/68/1/34/2564036
Dusick JR, Gonzalez NR, Martin NA. Clinical and Angiographic Outcomes From Indirect Revascularization Surgery for Moyamoya Disease in Adults and Children: A Review of 63 Procedures. Neurosurgery [Internet]. 2011 Jan 1 [cited 2019 Jun 9];68(1):34–43. Available from: https://academic.oup.com/neurosurgery/article/68/1/34/2564036
Eric J. Arias M, Colin P. Derdeyn, MD*‡§¶ Ralph G. Dacey, Jr, MD*¶ Gregory J. Zipfel M. Advances and Surgical Considerations in the Treatment of Moyamoya Disease. Neurosurgery [Internet]. 2014 [cited 2019 Jun 13];74:S116–S125. Available from: www.neurosurgery-online.com
Fujimura M, Niizuma K, Inoue T, Sato K, Endo H, Shimizu H, et al. Minocycline Prevents Focal Neurological Deterioration Due to Cerebral Hyperperfusion After Extracranial-Intracranial Bypass for Moyamoya Disease. Neurosurgery [Internet]. 2014 Feb 1 [cited 2019 Jun 13];74(2):163–70. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000238
Golby AJ, Marks MP, Thompson RC, Steinberg GK. Direct and Combined Revascularization in Pediatric Moyamoya Disease. Neurosurgery [Internet]. 1999 Jul 1 [cited 2019 Jun 20];45(1):50–60. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1097/00006123-199907000-00013
Guzman R, Kelly ME, Bell-Stephens T, Steinberg GK. Revascularization Surgery in Moyamoya Disease Improves Clinical Disability and Reduces the Incidence of New Transient Ischemic Attack or Stroke 815. Neurosurgery [Internet]. 2006 Aug 1 [cited 2019 Jun 20];59(2):458–458. Available from: https://academic.oup.com/neurosurgery/article/59/2/458/2559334/Revascularization-Surgery-in-Moyamoya-Disease
Guzman R, Kelly ME, Lim M, Bell-Stephens T, Lee MB, Steinberg GK. Long-term Clinical Outcome of Patients Who Underwent Revascularization Surgery for Moyamoya Disease Compared with the Natural History. Neurosurgery [Internet]. 2007 Jul 1 [cited 2019 Jun 13];61(1):199–199. Available from: https://academic.oup.com/neurosurgery/article/61/1/199/2594238
Hayashi T, Shirane R, Tominaga T. ADDITIONAL SURGERY FOR POSTOPERATIVE ISCHEMIC SYMPTOMS IN PATIENTS WITH MOYAMOYA DISEASE. Neurosurgery [Internet]. 2009 Jan 1 [cited 2019 Jun 13];64(1):E195–6. Available from: https://academic.oup.com/neurosurgery/article/64/1/E195/2680688
Houkin K, Ishikawa T, Kuroda S, Abe H. Vascular Reconstruction Using Interposed Small Vessels. Neurosurgery [Internet]. 1998 Sep 1 [cited 2019 Jun 21];43(3):501–5. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1097/00006123-199809000-00057
Iwama T, Hashimoto N, Miyake H, Yonekawa Y. Direct Revascularization to the Anterior Cerebral Artery Territory in Patients with Moyamoya Disease: Report of Five Cases. Neurosurgery [Internet]. 1998 May 1 [cited 2019 Jun 20];42(5):1157–61. Available from: https://academic.oup.com/neurosurgery/article/42/5/1157/2812878
Jin S-C, Oh CW, Kwon O-K, Hwang G, Bang JS, Kang H-S, et al. Epilepsy After Bypass Surgery in Adult Moyamoya Disease. Neurosurgery [Internet]. 2011 May 1 [cited 2019 Jun 13];68(5):1227–32. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0b013e31820c045a
Kainth DS, Chaudhry SA, Kainth HS, Suri FK, Qureshi AI. Prevalence and Characteristics of Concurrent Down Syndrome in Patients With Moyamoya Disease. Neurosurgery [Internet]. 2013 Feb 1 [cited 2019 Jun 21]; 72(2):210–5. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0b013e31827b9beb
Kang H-S, Kim S-K, Wang K-C. Single Nucleotide Polymorphisms of Tissue Inhibitors of Metalloproteinase Genes in Familial Moyamoya Disease. Neurosurgery [Internet]. 2008 Jun 1 [cited 2019 Jun 21];62(6):E1384–E1384. Available from: https://academic.oup.com/neurosurgery/article/62/6/E1384/2701547?searchresult=1
Arikan F, Vilalta J, Torne R, Noguer M, Lorenzo-Bosquet C, Sahuquillo J. Rapid Resolution of Brain Ischemic Hypoxia After Cerebral Revascularization in Moyamoya Disease. Neurosurgery [Internet]. 2015 Mar 1 [cited 2019 Jun 13];76(3):302–12. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000609
Bang JS, Kwon O-K, Kim JE, Kang H-S, Park H, Cho SY, et al. Quantitative Angiographic Comparison With the OSIRIS Program Between the Direct and Indirect Revascularization Modalities in Adult Moyamoya Disease. Neurosurgery [Internet]. 2012 Mar 1 [cited 2019 Jun 13];70(3):625–33. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0b013e3182333c47
Blauwblomme T, Mathon B, Naggara O, Kossorotoff M, Bourgeois M, Puget S, et al. Long-term Outcome After Multiple Burr Hole Surgery in Children With Moyamoya Angiopathy: A Single-Center Experience in 108 Hemispheres. Neurosurgery [Internet]. 2017 Jun 1 [cited 2019 Jun 13];80(6):950–6. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1093/neuros/nyw161
Chiarelli PA, Patel AP, Lee A, Chandra SR, Sekhar LN. Sternocleidomastoid Encephalomyosynangiosis for Treatment-Resistant Moyamoya Disease. Oper Neurosurg [Internet]. 2018 Aug 30 [cited 2019 Jun 13]; Available from: https://academic.oup.com/ons/advance-article/doi/10.1093/ons/opy234/5087990
Deng X, Ge P, Wang S, Zhang D, Zhang Y, Wang R, et al. Treatment of Moyamoya Disease. Neurosurgery [Internet]. 2018 Sep 1 [cited 2019 Jun 13];65(CN_suppl_1):62–5. Available from: https://academic.oup.com/neurosurgery/article/65/CN_suppl_1/62/5074850
Deng X, Zhang D, Zhang Y, Wang R, Gao F, Zhao J. 117 Effects of Different Surgical Modalities on Clinical Outcome of Moyamoya Disease: A Prospective Cohort Study. Neurosurgery [Internet]. 2017 Sep 1 [cited 2019 Jun 13];64(CN_suppl_1):225–225. Available from:
https://academic.oup.com/neurosurgery/article/64/CN_suppl_1/225/4834204
Dusick JR, Gonzalez NR, Martin NA. Clinical and Angiographic Outcomes From Indirect Revascularization Surgery for Moyamoya Disease in Adults and Children: A Review of 63 Procedures. Neurosurgery [Internet]. 2011 Jan 1 [cited 2019 Jun 13];68(1):34–43. Available from: https://academic.oup.com/neurosurgery/article/68/1/34/2564036
Dusick JR, Gonzalez NR, Martin NA. Clinical and Angiographic Outcomes From Indirect Revascularization Surgery for Moyamoya Disease in Adults and Children: A Review of 63 Procedures. Neurosurgery [Internet]. 2011 Jan 1 [cited 2019 Jun 9];68(1):34–43. Available from: https://academic.oup.com/neurosurgery/article/68/1/34/2564036
Eric J. Arias M, Colin P. Derdeyn, MD*‡§¶ Ralph G. Dacey, Jr, MD*¶ Gregory J. Zipfel M. Advances and Surgical Considerations in the Treatment of Moyamoya Disease. Neurosurgery [Internet]. 2014 [cited 2019 Jun 13];74:S116–S125. Available from: www.neurosurgery-online.com
Fujimura M, Niizuma K, Inoue T, Sato K, Endo H, Shimizu H, et al. Minocycline Prevents Focal Neurological Deterioration Due to Cerebral Hyperperfusion After Extracranial-Intracranial Bypass for Moyamoya Disease. Neurosurgery [Internet]. 2014 Feb 1 [cited 2019 Jun 13];74(2):163–70. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0000000000000238
Golby AJ, Marks MP, Thompson RC, Steinberg GK. Direct and Combined Revascularization in Pediatric Moyamoya Disease. Neurosurgery [Internet]. 1999 Jul 1 [cited 2019 Jun 20];45(1):50–60. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1097/00006123-199907000-00013
Guzman R, Kelly ME, Bell-Stephens T, Steinberg GK. Revascularization Surgery in Moyamoya Disease Improves Clinical Disability and Reduces the Incidence of New Transient Ischemic Attack or Stroke 815. Neurosurgery [Internet]. 2006 Aug 1 [cited 2019 Jun 20];59(2):458–458. Available from: https://academic.oup.com/neurosurgery/article/59/2/458/2559334/Revascularization-Surgery-in-Moyamoya-Disease
Guzman R, Kelly ME, Lim M, Bell-Stephens T, Lee MB, Steinberg GK. Long-term Clinical Outcome of Patients Who Underwent Revascularization Surgery for Moyamoya Disease Compared with the Natural History. Neurosurgery [Internet]. 2007 Jul 1 [cited 2019 Jun 13];61(1):199–199. Available from: https://academic.oup.com/neurosurgery/article/61/1/199/2594238
Hayashi T, Shirane R, Tominaga T. ADDITIONAL SURGERY FOR POSTOPERATIVE ISCHEMIC SYMPTOMS IN PATIENTS WITH MOYAMOYA DISEASE. Neurosurgery [Internet]. 2009 Jan 1 [cited 2019 Jun 13];64(1):E195–6. Available from: https://academic.oup.com/neurosurgery/article/64/1/E195/2680688
Houkin K, Ishikawa T, Kuroda S, Abe H. Vascular Reconstruction Using Interposed Small Vessels. Neurosurgery [Internet]. 1998 Sep 1 [cited 2019 Jun 21];43(3):501–5. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1097/00006123-199809000-00057
Iwama T, Hashimoto N, Miyake H, Yonekawa Y. Direct Revascularization to the Anterior Cerebral Artery Territory in Patients with Moyamoya Disease: Report of Five Cases. Neurosurgery [Internet]. 1998 May 1 [cited 2019 Jun 20];42(5):1157–61. Available from: https://academic.oup.com/neurosurgery/article/42/5/1157/2812878
Jin S-C, Oh CW, Kwon O-K, Hwang G, Bang JS, Kang H-S, et al. Epilepsy After Bypass Surgery in Adult Moyamoya Disease. Neurosurgery [Internet]. 2011 May 1 [cited 2019 Jun 13];68(5):1227–32. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0b013e31820c045a
Kainth DS, Chaudhry SA, Kainth HS, Suri FK, Qureshi AI. Prevalence and Characteristics of Concurrent Down Syndrome in Patients With Moyamoya Disease. Neurosurgery [Internet]. 2013 Feb 1 [cited 2019 Jun 21]; 72(2):210–5. Available from: https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/NEU.0b013e31827b9beb
Kang H-S, Kim S-K, Wang K-C. Single Nucleotide Polymorphisms of Tissue Inhibitors of Metalloproteinase Genes in Familial Moyamoya Disease. Neurosurgery [Internet]. 2008 Jun 1 [cited 2019 Jun 21];62(6):E1384–E1384. Available from: https://academic.oup.com/neurosurgery/article/62/6/E1384/2701547?searchresult=1
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Publicado
2020-12-03
Cómo citar
Santacruz, L. fernando, & Ortega, E. (2020). MOYAMOYA SIGNO, SÍNDROME, ENFERMEDAD Y FENOMENO, ANGIOMIOSILVIANOSINANGIOSIS, ESTADO DEL ARTE Y REVISION DE LA LITERATURA, AÑO 2020. Neurociencias Journal, 26(3), 76–85. https://doi.org/10.51437/nj.v26i3.163
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