Involuntary Movements Induced and Remitted by Indirect Bypass Surgery in a Patient with Moyamoya Disease

Takao Yanagawa, Tetsuyoshi Horiuchi, Yosuke Hara, Yu Fujii, Kazuhiro Hongo

Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Nagano.

DOI: 10.4236/ojmn.2012.24015                

Abstract

Involuntary movement is an uncommon manifestation of moyamoya disease. We describe a 12-year-old boy who suffered from involuntary movement after the first surgery but it improved dramatically after the second surgery. Initially, the patient underwent an encephalo-duro-arterio-myosynangiosis on the right side and encephalo-duro-periostealsynangiosis on the bifrontal side, which ameliorated his motor weakness in his left upper extremity. However, involuntary movement appeared in his right upper extremity. Secondly, the patient underwent encephalo-duro-arterio-myo-periostealsynangiosis on the left side. Thereafter, the patient’s involuntary movement completely resolved. The involuntary movement might occur due to the unequal distribution of the blood flow in the basal ganglia.

Keywords

Involuntary Movement; Indirect Bypass Surgery; Moyamoya Disease

Conflicts of Interest

The authors declare no conflicts of interest.

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