J Stroke Cerebrovasc Dis 2022 Jun 1;31(8):106581. Epub 2022 Jun 1.
Department of Neurosurgery, Brigham and Women's Hospital, Harvard University, Boston, MA, United States. Electronic address:
Objectives: Moyamoya disease is an idiopathic cerebrovascular disorder in which patients experience recurrent transient ischemic attacks, ischemic or hemorrhagic strokes, headaches, and seizures from progressive stenosis of the vessels of the anterior circulation. The mainstay of treatment in symptomatic patients is surgical revascularization. Here, we present the case of a moyamoya patient in which a failed encephaloduroarteriosynangiosis, after new strokes, is recycled and converted into a combined "double barrel" direct superficial temporal artery to middle cerebral artery bypass with included video. Read More