Surgical treatment of pediatric moyamoya disease

Abstract

Cerebral ischemia is a well-recognized cause of morbidity in the pediatric population. Moyamoya disease, first described in 1957 by Takeuchi and Shimizu, is an idiopathic chronic vasculopathy that often presents with ischemia. Moyamoya syndrome presents with similar clinical manifestations and disease progression but may occur unilaterally or in the setting of a predisposing condition. Both direct and indirect revascularization procedures have proven to be efficacious for pediatric moyamoya patients.