Frontal Encephalo-myo-arterio-synangiosis (EMAS)

Abstract
We performed frontal encephalo-myo-arterio-synangiosis (EMAS) combined with encephalo-duro-arterio-synangiosis (EDAS) in children with moyamoya disease. Only EDAS was done in the parietal region on 17 sides in 13 cases, and frontal EMAS with EDAS was performed in the parietal region on 16 sides in 11 cases. Collateral formation was confirmed on the postoperative external carotid angiograms and improvement of clinical symptoms were examined. Frontal EMAS with EDAS was better than EDAS only in terms of the development of collateral circulation and postoperative clinical improvement. Frontal EMAS may be recommended for an additional surgical procedure of EDAS on children with moyamoya disease.

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