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本文报道了74—76年间对13例(9名儿童,4名成人)“烟雾病”及4例非典型病例(1名儿童,3名成人)进行了颞浅—大脑中动脉吻合术(简称STA—MCA)和/或大脑颞肌血管增生手术(Encephalomyosynangiosis,简称EMS)。早期临床症状和进行手术间隔时间17天到54个月不等(平均15个月)。术前动脉造影除4例非典型病例外均显示大脑中动脉狭窄、闭塞以及双侧的“烟雾”现象。手术方法是根据临床症状最坏的一侧选择作为手术的一侧。EMS是指在吻合后在脑表面用部分颞
This paper reports the temporal superficial-middle cerebral artery anastomosis (abbreviated name) in 13 (9 children, 4 adults) moyamoya disease and 4 atypical cases (1 child, 3 adults) STA-MCA) and / or Encephalomyosynangiosis (EMS). Early clinical symptoms and surgical interval between 17 days to 54 months (average 15 months). Preoperative arterial angiography in all except 4 atypical cases showed middle cerebral artery stenosis, occlusion and bilateral “smoke” phenomenon. The surgical method is based on the worst side of the clinical symptoms chosen as the side of surgery. EMS refers to the part of the temporal surface of the brain after anastomosis