Cerebral Bypass Surgery for Moyamoya - Watch WebMD Video

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Cerebral Bypass Surgery

Reviewed By: Brunilda Nazario,

SOURCES: 2008 Medical Reference from Medstar Television. David Newell, MD, Neurosurgeon/Executive Director, Swedish Neuroscience Institute, Seattle, WA.

© 1999-2011 Medstar Television

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Narrator:

Angela Lara (Lar-a) is 18, a senior in high school and recovering from her second brain surgery.

Angela Lara, Moyamoya Patient:

I would be at home walking and suddenly I would get really weak, and I'd be brushing my hair and I dropped my brush because I couldn't hold it anymore.

Narrator:

At 13, Angela was diagnosed with Moyamoya disease after suffering a small stroke.

Angela Lara, Moyamoya Patient:

I would suddenly start to feel a facial kind of a droop and numbness and my left side would go completely dead.

Narrator:

David Newell (new-el) IS Angela's neurosurgeon and co-author of a new observational study that shows cerebral bypass surgery is an effective Moyamoya treatment. Five years ago, he performed bypass surgery around the blockage on the right side of Angela's brain, and last month, another bypass on the left side.

David Newell, MD, Neurosurgeon:

We take a vessel from the scalp and then place it on the brain and connect it up to the brain vessels with a fine suturing technique so the blood flow can go around the blockage and enter the vessels that it needs to enter to provide the blood flow to the brain.

Narrator:

Moyamoya means puff like a cloud of smoke Japanese. It refers to the collateral network of blood vessels that form to get around the blockage.

David Newell, MD, Neurosurgeon:

There are various stages of Moyamoya disease that are recognized. The early stage is when the vessel starts to narrow. Intermediate stages are when these collateral or Moyamoya vessels appear and then the late stages are when all of the vessels wither away after many strokes have occurred.

Narrator:

Angela feels fine now, but needs to be monitored for any future symptoms of the disease. For WebMD, I'm Damon Meharg.

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