Moyamoya: superficial temporal artery to middle cerebral artery bypass

Discussion:

Moyamoya disease is an idiopathic and non inflammatory progressive vasculo-occlusive disease involving the circle of Willis, typically the supraclinoid internal carotid arteries.

Bypassing the occlusive segments is the aim of most surgical therapy and, as in this case, anastomoses can be performed between the superficial temporal artery to middle cerebral artery (STA-MCA). 

 

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