Trends in Cerebrovascular Surgery by Tetsuya Tsukahara Alberto Pasqualin Giuseppe Esposito Luca Regli & Giampietro Pinna

Trends in Cerebrovascular Surgery by Tetsuya Tsukahara Alberto Pasqualin Giuseppe Esposito Luca Regli & Giampietro Pinna

Author:Tetsuya Tsukahara, Alberto Pasqualin, Giuseppe Esposito, Luca Regli & Giampietro Pinna
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham


In moyamoya disease with long-standing misery perfusion, hemodynamic cerebral ischemia was initially compensated with large amounts of vasodilation (marked increase of CBV) and then could be followed by a mild to moderate increase of OEF in response to the degree of progression. SEE-JET analysis of DTARG and 15O-gas PET of a representative case is demonstrated in Figs. 9 and 10. In moyamoya disease with long-standing misery perfusion, hemodynamic cerebral ischemia is initially compensated with large quantities of vasodilation and then an increased OEF in response to the degree of progression (Fig. 11).

Fig. 9SEE JET analysis using DTARG of long-standing misery perfusion: in this 55-year-old man, DSA for detail examination of his long-standing TIA episode over 10 years showed left-sided moyamoya disease. SEE JET analysis using DTARG showed moderate decrease of CBF, steal phenomenon of DIAMOX-activated CBF, marked decrease of vascular reserve, and Stage II ischemia in the left MCA territories



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