Ten-year experience with laparoscopic pedicled omental flap for cerebral revascularization in patients with Moyamoya disease
Moyamoya disease is an idiopathic chronic intracranial vasculopathy leading to progressive occlusion of bilateral distal internal carotid arteries. Fragile collateral vessels will form at the base of the skull to compensate for the ischemia associated with arterial stenosis. Groups of collateral vessels give the appearance of a hazy “puff of smoke” or Moyamoya in Japanese, which was first described in 1957 [1–3].