علاج متلازمة موياموا لدى البالغين مع نزيف داخل المخ

References

DOI: 10.1177/23969873221144089

• Indeed, the expression of the MMA is mainly ischaemic in children, whereas it is also characterised by cerebral haemorrhage in adults.
• Adult patients functionally independent, aged between 16 and 65 years and with a history of intracerebral, intraventricular or subarachnoid haemorrhage that occurred within 12 months before inclusion were eligible.
• In adult MMA patients with haemorrhagic presentation, we recommend revascularization surgery (evidence only for direct STA-MCA bypass) in case of cerebral haemodynamic impairment and presence of choroidal collaterals.
• In patients with MMA, we suggest waiting 6–12 weeks from an acute cerebrovascular event before performing surgery for MMA patients, to reduce the rate of postoperative complications.
• In patients with MMA, we suggest avoiding trigger factors such as dehydration, fever, and hyperventilation as well as hypotension when waiting for surgery.