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Indian Journal of Anesthesia and Analgesia

Volume  7, Issue 3, May-June 2020, Pages 710-715
 

Original Article

Revascularisation Surgeries in Pediatric Patients With Moyamoya Disease: An Anesthesia Point of View (Implications)

Amarnath Reddy Basavanapalli, Neha Kanojia, Muralidhar Joshi

1Consultant Anaesthesiologist, Virinchi Hopsital, Hyderabad, Telangana 500034, India. 2Assistant Professor, Dept. of Anaesthesia, ESIC Medical College, Hyderabad, Telangana 500038, India. 3Consultant Anaesthesiologist, Virinchi Hopsital, Hyderabad, Telangana 500034, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7320.8

Abstract

 

Background: Moyamoya disease is a progressive occlusive cereberovascular disorder that usually presents as recurrent strokes in pediatric population. There is paucity of literature on anesthetic management of pediatric patients in the Indian subcontinent. The main objective of our study was to evaluate the perioperative course and outcome of children undergoing revascularization surgery of Moyamoya disease.

Methodology: A series of 11 patients aged between 5 months-10 years age group were analyzed overa period of one year.

Conclusion:– Anaesthetic management involves maintainence of cerebral blood flow and cerebral perfusion pressure and
normothermia to avoid perioperative ischemic complications.


Keywords : Moyamoya disease (MMD), Revascularization, Anaesthetic management, Scalp block, Magnetic Resonance Imaging (MRI).
Corresponding Author : Amarnath Reddy Basavanapalli