{"id":"97745066-5d80-4832-8d3e-202ac64923da","slug":"seizure-outcome-in-moyamoya-after-indirect-revascularization-in-pediatric-patients-retrospective-study-and-literature-review","title":"Seizure outcome in moyamoya after indirect revascularization in pediatric patients: Retrospective study and literature review","authors":["Abdullah Alramadan","Anwar Ul Haq","Sarah Basindwah","Essam Alshail"],"abstract":"Background: Moyamoya disease (MMD) is a unique cerebrovascular disorder characterized by progressive stenosis of anterior cerebral circulation. Moyamoya is not an uncommon disease in Saudi Arabia. Although a less common symptom of the disease, the incidence of seizure in MMD ranges from 6 to 30%. Indirect revascularization through Encephaloduroarteriosynangiosis technique is one of the surgical treatment options for MMD. In our cohort, we aim to evaluate seizure outcome in pediatric patients with moyamoya. Methods: Eleven patients with seizure as primary presentation for MMD over a period of 10 years were included in the study. All patients underwent EDAS surgery. All patients underwent pre- and postoperative assessment of multiple factors contributing to seizure outcome. Patients were evaluated for surgery control clinically and radiologically. Results: About 73% of MMD patients with seizures improved after EDAS surgery (P P < 0.07). Conclusion: Patients with controlled seizure before surgery are more likely to be seizure free after intervention. Seizure outcome is favorable after indirect surgical revascularization in pediatric moyamoya patients.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/97745066-5d80-4832-8d3e-202ac64923da/featured/hero-1781562688235.png","publishDate":"2021-02-23T00:00:00.000Z","doi":"10.25259/SNI_633_2020","categories":["Pediatric Neurosurgery","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2021/02/10608/SNI-12-73.pdf"}