Involuntary Movements Induced and Remitted by Indirect Bypass Surgery in a Patient with Moyamoya Disease

Takao  Yanagawa; Tetsuyoshi  Horiuchi; Yosuke  Hara; Yu  Fujii; Kazuhiro  Hongo

doi:10.4236/ojmn.2012.24015

Takao Yanagawa^*, Tetsuyoshi Horiuchi, Yosuke Hara, Yu Fujii, Kazuhiro Hongo

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.

Keywords: Involuntary Movement; Indirect Bypass Surgery; Moyamoya Disease

Cite this paper: T. Yanagawa, T. Horiuchi, Y. Hara, Y. Fujii and K. Hongo, "Involuntary Movements Induced and Remitted by Indirect Bypass Surgery in a Patient with Moyamoya Disease," Open Journal of Modern Neurosurgery, Vol. 2 No. 4, 2012, pp. 71-74. doi: 10.4236/ojmn.2012.24015.

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