Moyamoya syndrome in children and anesthetic management

Authors

  • Filipa Carvalheiro Resident of Anesthesiology Department Centro Hospitalar do Algarve – Unidade de Portimão, Portugal
  • Fernanda Palma Mira Anesthesiology Department Centro Hospitalar de Lisboa Ocidental, Portugal.
  • Ana Isabel André Anesthesiology Department Centro Hospitalar de Lisboa Ocidental, Portugal.
  • Cristina Ferreira Anesthesiology Department Centro Hospitalar de Lisboa Ocidental, Portugal.

DOI:

https://doi.org/10.25751/rspa.4075

Keywords:

Moyamoya Disease, Child, Anesthesia, General, Perioperative Care

Abstract

The Moyamoya syndrome is a cerebrovascular condition that predisposes affected patients to stroke in association with progressive stenosis of the intracranial internal carotid arteries and their proximal branches.

We report the clinical case of a black child, male, 10 years old, with Moyamoya syndrome diagnosed by angiography, who presented with spastic hemiparesia and central facial paralysia. The child was scheduled to indirect revascularization surgery, encephaloduroarteriosynangiosis, under general anesthesia.

The anesthetic management of such patients should prioritize brain blood flow maintenance because unfavorable perioperative states may trigger negative neurological events. The authors expose the anesthetic care of cerebrovascular disease in children, during the perioperative period.

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Published

2014-04-01

How to Cite

Carvalheiro, F., Mira, F. P., André, A. I., & Ferreira, C. (2014). Moyamoya syndrome in children and anesthetic management. Journal of the Portuguese Society of Anesthesiology, 23(2), 45–48. https://doi.org/10.25751/rspa.4075

Issue

Section

Case Report