Moyamoya disease, craniotomy, seizures, is there a good treatment

The ideal state of epilepsy is to completely control the patient's seizures, with only a slight or no *** during the drug process, so that the patient can achieve a normal quality of life.

For patients with definite **, first target **, such as resection of brain tumor, anti-parasitic **, etc.; Drugs should be considered when there is no clear **, or when a clear ** is found but it is not possible.

Drugs**. For the patient's interictal period, the doctor's drug mainly has the following principles:

When a patient has a first episode and is diagnosed, there is some controversy about when to take the drug. For those cases where the number of seizures is rare after more than 6 months, the doctor will comprehensively evaluate the drug*** and efficacy, and choose it as appropriate.

The doctor will give the best plan according to the patient's seizure type, drug size, drug, age, gender and other factors, and the main basis is the type of seizure.

If the medication is not chosen properly, it is not only ineffective, but may even worsen the seizures. Therefore, patients should never take medicine without authorization, and must go to a regular hospital for medical treatment and take medicine according to the doctor's instructions.

Surgery for epilepsy is mainly for. If the seizure is due to a tumor, the epilepsy symptoms may resolve or disappear as the tumor is removed. There are also some new types**, but their effectiveness needs to be further evaluated. Hope.

The causes of epilepsy after moyamoya disease include the swelling and compression of the temporal muscle under the reduced bone flap and the hyperperfusion of blood flow after vascular bypass, but the time between epilepsy and surgery is generally very short.

At present, only anti-epileptic drugs can be used for seizures**, and it is recommended to go to the hospital for examination before considering** the plan.

It may be a complication of craniotomy, first use antiepileptic drugs for a period of time to see if it will be better, and then consider the next step to reduce and stop the drug.

It is necessary to open a craniotomy, because it is impossible for its own blood vessels to grow through the bone to the brain, so the purpose of the operation is to create a platform for it, and introduce the normal blood vessels and blood flow other than the bone to the surface of the ischemic cranial nerve, so the operation should be done by craniotomy. The effect of a single bypass is not very good, so Jin Yongjian of 361 Hospital uses direct bypass and indirect bypass, that is, combined vascular bypass grafting, to treat moyamoya disease.

Craniotomy is necessary for moyamoya disease surgery because the lesions of moyamoya disease are all intracranial.

Problem analysis: You also have vascular diseases in the brain of Yanshi Kuanwu disease, abnormal blood vessels and nets appear in the brain, accompanied by stenosis of one or both internal carotid arteries, patients often have symptoms of cerebral ischemia, dizziness, unfavorable movement of one side of the limbs, numbness of hands and feet, etc. **There are familial hereditary and autoimmune properties.

Suggestions: **Generally dull and have internal medicine conservative** return to violence, and surgery**. The main method of surgery** is to select the intracranial artery and the extracranial artery for bypass, so craniotomy is necessary.

Surgery for moyamoya disease requires a craniotomy. Because the lesions of moyamoya disease are all in the skull, the narrowing and occlusion of the main arteries are all in the skull, and the abnormal moyamoya blood vessels at the base of the skull are also in the skull, so a craniotomy is required.

Craniotomy is not scary and there is no need to be afraid. Professor Jin Yongjian of the Aviation General Hospital has been performing combined vascular bypass surgery for moyamoya disease for many years, and has done more than 1,000 surgeries, with very mature technology and very safe surgery. We have a complete surgical system, including preoperative examination and evaluation, preparation, intraoperative monitoring and management, strict and standardized surgical operation, postoperative nursing monitoring, etc., and the management of the entire perioperative period at very night to ensure the safety of the operation.

Therefore, although it is a craniotomy, it is not terrible, there is no need to be afraid, and moyamoya disease should be actively surged**.

Moyamoya disease is an abnormality of the cerebral blood vessels, manifested as intracranial hemorrhage, of course, the operation requires a craniotomy, or what else can be done?

Guidance: After craniotomy, epilepsy is a common postoperative sequelae, and there is no specific drug in this case**. Nowadays, the common drug is to control the brain nerves, because the surgery has formed scars, most of these scars are the main cause of epilepsy, but once these scars are formed, they cannot be removed.

Therefore, epilepsy can only be controlled, and the epilepsy can be closed**,