Surgical Treatment for Pediatric Moyamoya Disease: Use of the Superficial Temporal Artery for Both Areas Supplied by the Anterior and Middle Cerebral Arteries

Abstract

These results suggest that the placement of bilateral burr holes (while leaving the frontal branch of the STA intact), in addition to the STA-MCA anastomosis, encephaloduroarteriosynangiosis, and encephalomyosynangiosis, is very effective in vascularizing the ischemic ACA and MCA territories in pediatric patients with moyamoya disease.