|
|
烟雾病临床治疗及术后并发症预测研究进展
|
Abstract:
烟雾病是一种严重困扰成人尤其是儿童发育的慢性脑血管疾病。临床现有治疗方法多以手术为主，辅以内科及中医治疗。但术后并发症的高发病率以及难预料性仍给予临床工作一定的困难。本文回顾了近年来国内外烟雾病临床治疗方法及预后评价，发现术后并发症的预测应作为烟雾病临床治疗的一个重要方向。围手术期的管理及监测有望成为提前预防及干预术后并发症的重要措施。
Moyamoya disease is a chronic cerebrovascular disease that seriously affects the development of adults, especially children. The existing clinical treatment methods are mostly surgery, supple-mented by internal medicine and traditional Chinese medicine. However, the high incidence and unpredictability of postoperative complications still make clinical work difficult. This paper re-viewed the clinical treatment methods and prognosis evaluation of moyamoya disease at home and abroad in recent years, and found that the prediction of postoperative complications should be an important direction of clinical treatment of moyamoya disease. Perioperative management and monitoring are expected to be an important measure for early prevention and intervention of postoperative complications.
| [1] | Suzuki, J. and Kodama, N. (1983) Moyamoya Disease—A Review. Stroke, 14, 104-109.
https://doi.org/10.1161/01.STR.14.1.104 |
| [2] | Shang, S., Zhou, D., Ya, J., et al. (2020) Progress in Moyamoya Disease. Neurosurgical Review, 43, 371-382.
https://doi.org/10.1007/s10143-018-0994-5 |
| [3] | Sun, Y., Zhou, G., Feng, J., et al. (2021) Incidence and Preva-lence of Moyamoya Disease in Urban China: A Nationwide Retrospective Cohort Study. Stroke and Vascular Neurology, 6, e000909.
https://doi.org/10.1136/svn-2021-000909 |
| [4] | Hoshino, H., Izawa, Y. and Suzuki, N. (2012) Epidemiological Features of Moyamoya Disease in Japan. Neurologia Medico-Chirurgica, 52, 295-298. https://doi.org/10.2176/nmc.52.295 |
| [5] | Nisiewicz, M.J., Roberts, J.M., Dobbs, M.R., et al. (2020) High Preva-lence of Moyamoya Syndrome in Appalachia. Cerebrovascular Diseases, 49, 516-521. https://doi.org/10.1159/000510750 |
| [6] | Ahn, I.M., Park, D.H., Hann, H.J., et al. (2014) Incidence, Prevalence, and Survival of Moyamoya Disease in Korea: A Nationwide, Population-Based Study. Stroke, 45, 1090-1095. https://doi.org/10.1161/STROKEAHA.113.004273 |
| [7] | Suzuki, J. and Takaku, A. (1969) Cerebrovascular “Mo-yamoya” Disease. Disease Showing Abnormal Net-Like Vessels in Base of Brain. Archives of Neurology, 20, 288-299. https://doi.org/10.1001/archneur.1969.00480090076012 |
| [8] | Onozuka, D., Hagihara, A., Nishimura, K., et al. (2016) Prehospital Antiplatelet Use and Functional Status on Admission of Patients with Non-Haemorrhagic Moyamoya Disease: A Nationwide Retrospective Cohort Study (J-Aspect Study). BMJ Open, 6, e009942. https://doi.org/10.1136/bmjopen-2015-009942 |
| [9] | Mayeku, J. and Lopez-Gonzalez, M.A. (2020) Current Surgical Options for Moyamoya Disease. Cureus, 12, e11332.
https://doi.org/10.7759/cureus.11332 |
| [10] | Ando, T., Shimada, Y., Fujiwara, S., et al. (2020) Revascularisation Surgery Improves Cognition in Adult Patients with Moyamoya Disease. Journal of Neurology, Neurosurgery, & Psychi-atry, 91, 332-334.
https://doi.org/10.1136/jnnp-2019-321069 |
| [11] | Ang, P., Cai, H., Luo, R., et al. (2021) Assessment of Surgical Outcomes in Children and Adult Ischemic Moyamoya Disease and Its Relationship with the Pre-Infarction Cerebral Per-fusion Status. Turkish Neurosurgery, 32, 43-51.
https://doi.org/10.5137/1019-5149.JTN.33210-20.2 |
| [12] | Taniguchi, M., Taki, T., Tsuzuki, T., et al. (2007) EC-IC Bypass Using the Distal Stump of the Superficial Temporal Artery as an Additional Collateral Source of Blood Flow in Patients with Moyamoya Disease. Acta Neurochirurgica, 149, 393-398. https://doi.org/10.1007/s00701-006-1098-5 |
| [13] | Egashira, Y., Yoshimura, S., Enomoto, Y., et al. (2018) Sin-gle-Stage Direct Revascularization for Bilateral Anterior Cerebral Artery Regions in Pediatric Moyamoya Disease: A Technical Note. World Neurosurgery, 118, 324-328.
https://doi.org/10.1016/j.wneu.2018.07.081 |
| [14] | Hayashi, T., Shirane, R. and Tominaga, T. (2009) Additional Surgery for Postoperative Ischemic Symptoms in Patients with Moyamoya Disease: The Effectiveness of Occipital Ar-tery-Posterior Cerebral Artery Bypass with an Indirect Procedure: Technical Case Report. Neurosurgery, 64, E195-E196.
https://doi.org/10.1227/01.NEU.0000336311.60660.26 |
| [15] | Matsushima, Y. and Inaba, Y. (1984) Moyamoya Disease in Children and Its Surgical Treatment. Introduction of a New Surgical Procedure and Its Follow-Up Angio-grams. Childs Brain, 11, 155-170.
https://doi.org/10.1159/000120172 |
| [16] | Tu, Y.-K., Liu, H.-M., Kuo, M.-F., Wang, P.-J., et al. (1997) Combined Encephalo-Arterio-Synangiosis and Encephalo-Myo-Synangiosis in the Treatment of Moyamoya Disease. Clinical Neu-rology and Neurosurgery, 99, S118-S22.
https://doi.org/10.1016/S0303-8467(97)00070-X |
| [17] | Bang, J.S., Kwon, O.K., Kim, J.E., et al. (2012) Quantitative Angiographic Comparison with the Osiris Program between the Direct and Indirect Revascularization Modalities in Adult Moyamoya Disease. Neurosurgery, 70, 625-633.
https://doi.org/10.1227/NEU.0b013e3182333c47 |
| [18] | Kawaguchi, T., Fujita, S., Hosoda, K., et al. (1996) Multiple Burr-Hole Operation for Adult Moyamoya Disease. Journal of Neurosurgery, 84, 468-476. https://doi.org/10.3171/jns.1996.84.3.0468 |
| [19] | Jeon, J.P., Kim, J.E., Cho, W.S., et al. (2018) Meta-Analysis of the Surgical Outcomes of Symptomatic Moyamoya Disease in Adults. Journal of Neurosurgery, 128, 793-799. https://doi.org/10.3171/2016.11.JNS161688 |
| [20] | Canavero, I., Vetrano, I., Zedde, M., et al. (2021) Clinical Man-agement of Moyamoya Patients. Journal of Clinical Medicine, 10, Article No. 3628. https://doi.org/10.3390/jcm10163628 |
| [21] | Qian, Y., Huang, B., Hu, Z., et al. (2020) Analysis of Factors Related to Cerebral Infarction after Direct Bypass Surgery in Adults with Moyamoya Disease. Cerebrovascular Diseases, 49, 55-61. https://doi.org/10.1159/000504743 |
| [22] | Choi, S., Sung, J., Jo, E., et al. (2021) Language Treatment Effects on Communicative Abilities and Working Memory in Korean-Speaking Agrammatic Broca’s Aphasia Caused by Mo-yamoya disease: Phase II Evidence from a Case Study. Neurocase, 27, 297-307. https://doi.org/10.1080/13554794.2021.1950768 |
| [23] | Shlobin, N., Frankel, H., Lam, S. (2021) Failures in Revas-cularization for Pediatric Moyamoya Disease and Syndrome: A Scoping Review. World Neurosurgery, 149, 204-214.e1. https://doi.org/10.1016/j.wneu.2021.02.054 |
| [24] | Case, D., Kumpe, D., Roark, C., et al. (2020) Neuroangiography: Review of Anatomy, Periprocedural Management, Technique, and Tips. Seminars in Interventional Radiology, 37, 166-174. https://doi.org/10.1055/s-0040-1709171 |
| [25] | Huguenard, A., Guerriero, R., Tomko, S., et al. (2021) Immediate Postoperative Electroencephalography Monitoring in Pediatric Moyamoya Disease and Syndrome. Pediatric Neurology, 118, 40-45.
https://doi.org/10.1016/j.pediatrneurol.2021.02.004 |
| [26] | Kashiwazaki, D., Akioka, N., Kuwayama, N., et al. (2017) Berlin Grading System Can Stratify the Onset and Predict Perioperative Complications in Adult Moyamoya Disease. Neurosurgery, 81, 986-991.
https://doi.org/10.1093/neuros/nyx140 |
| [27] | Uchino, H., Kuroda, S., Hirata, K., et al. (2012) Predictors and Clinical Features of Postoperative Hyperperfusion after Surgical Revascularization for Moyamoya Disease: A Serial Single Pho-ton Emission CT/Positron Emission Tomography Study. Stroke, 43, 2610-2616. https://doi.org/10.1161/STROKEAHA.112.654723 |
| [28] | Yoon, H., Oh, H., Lee, H., et al. (2020) Effect of Sevoflurane Postconditioning on the Incidence of Symptomatic Cerebral Hyperperfusion after Revascularization Surgery in Adult Patients with Moyamoya Disease. World Neurosurgery, 134, e991-e1000. https://doi.org/10.1016/j.wneu.2019.11.055 |
| [29] | Jo, W., Oh, H., Kim, H., et al. (2020) Preoperative Platelet Count May Predict Postoperative Symptomatic Cerebral Hyperperfusion Syndrome after Superficial Temporal Artery-Middle Cerebral Artery Anastomosis in Moyamoya Patients. Clinical Neurology and Neurosurgery, 199, Article ID: 106260. https://doi.org/10.1016/j.clineuro.2020.106260 |
| [30] | Hayashi, T., Kimiwada, T., Karibe, H., et al. (2021) Preopera-tive Risks of Cerebral Infarction in Pediatric Moyamoya Disease. Stroke, 52, 2302-2310. https://doi.org/10.1161/STROKEAHA.120.032699 |
| [31] | Roder, C., Haas, P., Fudali, M., et al. (2020) Neuropsy-chological Impairment in Adults with Moyamoya Angiopathy: Preoperative Assessment and Correlation to Mri and H2 15O PET. Neurosurgical Review, 43, 1615-1622.
https://doi.org/10.1007/s10143-019-01192-3 |
| [32] | Agarwal, V., Singh, P., Ahuja, C., et al. (2021) Non-Invasive Assessment of Cerebral Microvascular Changes for Predicting Postoperative Cerebral Hyperperfusion after Surgical Re-vascularisation for Moyamoya Disease: An Arterial Spin Labelling MRI Study. Neuroradiology, 63, 563-572. https://doi.org/10.1007/s00234-020-02583-w |
| [33] | 翟明玉, 王勇, 吴丽敏, 杨佳, 韩明明, 黄祥, 李娟. 多模式监测对缺血型烟雾病血管重建术患者术后恢复的影响[J]. 临床麻醉学杂志, 2020, 36(7): 629-633. |
| [34] | 孙彦熙, 步星耀, 袁强, 闫兆月, 马春晓, 屈鸣麒, 杨冬谊, 张慧. 联合血管重建术配合辛伐他汀治疗缺血型烟雾病的临床研究[J]. 中华脑科疾病与康复杂志, 2015, 5(1): 10-14. |
| [35] | Kanamori, F., Araki, Y., Yokoyama, K., et al. (2021) Effects of Aspirin and Heparin Treatment on Perioperative Outcomes in Patients with Moyamoya Disease. Acta Neuro-chirurgica, 163, 1485-1491.
https://doi.org/10.1007/s00701-020-04668-0 |
| [36] | Liu, X., Zhang, D., Wang, S., et al. (2015) Clinical Features and Long-Term Outcomes of Moyamoya Disease: A Single-Center Experience with 528 Cases in China. Journal of Neuro-surgery, 122, 392-399.
https://doi.org/10.3171/2014.10.JNS132369 |
| [37] | Huang, Z., Ding, X., Men, W., Zhang, D., et al. (2015) Clinical Features and Outcomes in 154 Patients with Haemorrhagic Moyamoya Disease: Comparison of Conservative Treatment and Surgical Revascularization. Neurological Research, 37, 886-892. https://doi.org/10.1179/1743132815Y.0000000073 |
