Wednesday, April 1, 2020

Transient neurological events after surgery for pediatric Moyamoya disease

Matsuura H, Yoshitani K, Nakamori Y, et al. Transient Neurological Events  After Surgery for Pediatric Moyamoya Disease: A Retrospective Study of Postoperative Sedation Practices. J Neurosurg Anesthesiol. 2020;32(2):182–185. doi:10.1097/ANA.0000000000000593

In this retrospective study, researchers tested the assumption that anesthetic technique and postoperative sedation would modify the correlation between transient neurological events (TNE) and superficial temporal artery-middle cerebral artery (STA-MCA) bypass in pediatric patients with Moyamoya disease. Between January 1999 and March 2016, they retrospectively reviewed the medical records of patients with Moyamoya disease aged 15 years and below who had STA-MCA bypass under general anesthesia at a single cerebrovascular center in Japan. One hundred seven patients experienced TNE within 1 week after surgery among 277 hemispheres in 154 pediatric patients who had STA-MCA bypass. Crying was correlated with increased TNE and postoperative sedation is related to decreased TNE in pediatric patients with Moyamoya disease.

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