TITLE:
Involuntary Movements Induced and Remitted by Indirect Bypass Surgery in a Patient with Moyamoya Disease
AUTHORS:
Takao Yanagawa, Tetsuyoshi Horiuchi, Yosuke Hara, Yu Fujii, Kazuhiro Hongo
KEYWORDS:
Involuntary Movement; Indirect Bypass Surgery; Moyamoya Disease
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.2 No.4,
October
16,
2012
ABSTRACT: Involuntary movement is an uncommon manifestation of moyamoya disease. We describe a 12-year-old boy who suffered from involuntary movement after the first surgery but it improved dramatically after the second surgery. Initially, the patient underwent an encephalo-duro-arterio-myosynangiosis on the right side and encephalo-duro-periostealsynangiosis on the bifrontal side, which ameliorated his motor weakness in his left upper extremity. However, involuntary movement appeared in his right upper extremity. Secondly, the patient underwent encephalo-duro-arterio-myo-periostealsynangiosis on the left side. Thereafter, the patient’s involuntary movement completely resolved. The involuntary movement might occur due to the unequal distribution of the blood flow in the basal ganglia.