{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T08:28:36Z","timestamp":1760171316815,"version":"3.37.3"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81870910","82171271"],"award-info":[{"award-number":["81870910","82171271"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Neurol Sci"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Moyamoya disease (MMD) is a chronic ischemic cerebrovascular disease. Collateral circulation in MMD has emerged as a research focus. Our aims were to assess the impact of anastomoses between the anterior and posterior circulations on the prognosis of MMD patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We reviewed the preoperative digital subtraction angiography images of patients with MMD who underwent revascularization surgery at our hospital between March 2014 and May 2020 and divided the patients into two groups: those with anastomoses (PtoA group) and those without anastomoses (non-PtoA group). The differences in follow-up (more than 6\u00a0months) collateral vessel establishment (Matsushima grade) and the modified Rankin Scale (mRS) were compared between the two groups as well as between the patients with different degrees of anastomoses. The early complications following revascularization were also compared between the two groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>This study included 104 patients with MMD, of which 38 were non-PtoA and 66 were PtoA. There were no significant differences in Matsushima score (<jats:italic>P<\/jats:italic>\u2009=\u20090.252) and mRS score (<jats:italic>P<\/jats:italic>\u2009=\u20090.066) between the two groups. In addition, Matsushima score (<jats:italic>P<\/jats:italic>\u2009=\u20090.243) and mRS score (<jats:italic>P<\/jats:italic>\u2009=\u20090.360) did not differ significantly between patients with different degrees of anastomoses. However, the non-PtoA group had a significantly higher rate of cerebral hyperperfusion syndrome (CHS) than the PtoA group (34.2% <jats:italic>vs<\/jats:italic> 16.7%, <jats:italic>P<\/jats:italic>\u2009=\u20090.041).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>MMD patients without anastomoses between anterior and posterior circulations preoperatively should be vigilant of the occurrence of CHS in the early stages after revascularization.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10072-024-07346-6","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T05:02:00Z","timestamp":1706504520000},"page":"3287-3295","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The effects of anastomoses between anterior and posterior circulation on postoperative prognosis of patients with moyamoya disease"],"prefix":"10.1007","volume":"45","author":[{"given":"Yuan","family":"Yuan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuchao","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lingji","family":"Jin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuhan","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaojun","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Libin","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hang","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junwen","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gao","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6449-4930","authenticated-orcid":false,"given":"Lin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"key":"7346_CR1","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1001\/archneur.1969.00480090076012","volume":"20","author":"J Suzuki","year":"1969","unstructured":"Suzuki J, Takaku A (1969) Cerebrovascular \u201cmoyamoya\u201d disease. Disease showing abnormal net-like vessels in base of brain. Arch Neurol 20:288\u2013299","journal-title":"Arch Neurol"},{"key":"7346_CR2","doi-asserted-by":"publisher","first-page":"1494","DOI":"10.1161\/STROKEAHA.122.041932","volume":"54","author":"S Kuroda","year":"2023","unstructured":"Kuroda S, Yamamoto S, Funaki T, Fujimura M, Kataoka H, Hishikawa T et al (2023) Five-year stroke risk and its predictors in asymptomatic moyamoya disease: asymptomatic moyamoya registry (AMORE). Stroke 54:1494\u20131504","journal-title":"Stroke"},{"key":"7346_CR3","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1161\/STROKEAHA.118.022771","volume":"50","author":"S Kang","year":"2019","unstructured":"Kang S, Liu X, Zhang D, Wang R, Zhang Y, Zhang Q et al (2019) Natural course of moyamoya disease in patients with prior hemorrhagic stroke. Stroke 50:1060\u20131066","journal-title":"Stroke"},{"key":"7346_CR4","doi-asserted-by":"publisher","first-page":"2708","DOI":"10.1161\/STROKEAHA.119.024487","volume":"50","author":"ZW Liu","year":"2019","unstructured":"Liu ZW, Han C, Zhao F, Qiao PG, Wang H, Bao XY et al (2019) Collateral circulation in moyamoya disease: a new grading system. Stroke 50:2708\u20132715","journal-title":"Stroke"},{"key":"7346_CR5","doi-asserted-by":"publisher","first-page":"2279","DOI":"10.1161\/01.STR.0000086465.41263.06","volume":"34","author":"DS Liebeskind","year":"2003","unstructured":"Liebeskind DS (2003) Collateral circulation. Stroke 34:2279\u20132284","journal-title":"Stroke"},{"key":"7346_CR6","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.wneu.2017.03.101","volume":"103","author":"P Ge","year":"2017","unstructured":"Ge P, Zhang Q, Ye X, Liu X, Deng X, Li H et al (2017) Long-term outcome after conservative treatment and direct bypass surgery of moyamoya disease at late Suzuki stage. World Neurosurg 103:283\u2013290","journal-title":"World Neurosurg"},{"key":"7346_CR7","doi-asserted-by":"publisher","first-page":"1505","DOI":"10.3171\/2020.2.JNS193221","volume":"134","author":"M Kim","year":"2020","unstructured":"Kim M, Park W, Chung Y, Lee SU, Park JC, Kwon DH et al (2020) Development and validation of a risk scoring model for postoperative adult moyamoya disease. J Neurosurg 134:1505\u20131514","journal-title":"J Neurosurg"},{"key":"7346_CR8","first-page":"2066","volume":"40","author":"S Bonasia","year":"2019","unstructured":"Bonasia S, Ciccio G, Smajda S, Weil AG, Chaalala C, Blanc R et al (2019) Angiographic analysis of natural anastomoses between the posterior and anterior cerebral arteries in moyamoya disease and syndrome. AJNR Am J Neuroradiol 40:2066\u20132072","journal-title":"AJNR Am J Neuroradiol"},{"key":"7346_CR9","doi-asserted-by":"publisher","first-page":"777","DOI":"10.3171\/2016.11.JNS161650","volume":"128","author":"T Funaki","year":"2018","unstructured":"Funaki T, Takahashi JC, Houkin K, Kuroda S, Takeuchi S, Fujimura M et al (2018) Angiographic features of hemorrhagic moyamoya disease with high recurrence risk: a supplementary analysis of the Japan Adult Moyamoya Trial. J Neurosurg 128:777\u2013784","journal-title":"J Neurosurg"},{"key":"7346_CR10","doi-asserted-by":"publisher","first-page":"4548","DOI":"10.1007\/s00330-020-07479-0","volume":"31","author":"F Wu","year":"2021","unstructured":"Wu F, Han C, Liu Y, Liu Z, Yang X, Wu Y et al (2021) Validation of choroidal anastomosis on high-resolution magnetic resonance imaging as an imaging biomarker in hemorrhagic moyamoya disease. Eur Radiol 31:4548\u20134556","journal-title":"Eur Radiol"},{"key":"7346_CR11","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s12975-021-00940-2","volume":"13","author":"R Mertens","year":"2022","unstructured":"Mertens R, Graupera M, Gerhardt H, Bersano A, Tournier-Lasserve E, Mensah MA et al (2022) The genetic basis of moyamoya disease. Transl Stroke Res 13:25\u201345","journal-title":"Transl Stroke Res"},{"key":"7346_CR12","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1016\/S1474-4422(11)70195-8","volume":"10","author":"A Shuaib","year":"2011","unstructured":"Shuaib A, Butcher K, Mohammad AA, Saqqur M, Liebeskind DS (2011) Collateral blood vessels in acute ischaemic stroke: a potential therapeutic target. Lancet Neurol 10:909\u2013921","journal-title":"Lancet Neurol"},{"key":"7346_CR13","doi-asserted-by":"publisher","first-page":"165","DOI":"10.2176\/jns-nmc.2021-0382","volume":"62","author":"M Fujimura","year":"2022","unstructured":"Fujimura M, Tominaga T, Kuroda S, Takahashi JC, Endo H, Ogasawara K et al (2022) 2021 Japanese guidelines for the management of moyamoya disease: guidelines from the Research Committee on Moyamoya Disease and Japan Stroke Society. Neurol Med Chir (Tokyo) 62:165\u2013170","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"7346_CR14","doi-asserted-by":"publisher","first-page":"401","DOI":"10.1227\/00006123-199209000-00003","volume":"31","author":"T Matsushima","year":"1992","unstructured":"Matsushima T, Inoue T, Suzuki SO, Fujii K, Fukui M, Hasuo K (1992) Surgical treatment of moyamoya disease in pediatric patients\u2013comparison between the results of indirect and direct revascularization procedures. Neurosurgery 31:401\u2013405","journal-title":"Neurosurgery"},{"key":"7346_CR15","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1136\/neurintsurg-2019-015621","volume":"12","author":"YH Lin","year":"2020","unstructured":"Lin YH, Liu HM (2020) Update on cerebral hyperperfusion syndrome. J Neurointerv Surg 12:788\u2013793","journal-title":"J Neurointerv Surg"},{"key":"7346_CR16","doi-asserted-by":"publisher","first-page":"12","DOI":"10.5853\/jos.2015.01760","volume":"18","author":"OY Bang","year":"2016","unstructured":"Bang OY, Fujimura M, Kim SK (2016) The pathophysiology of moyamoya disease: an update. J Stroke 18:12\u201320","journal-title":"J Stroke"},{"key":"7346_CR17","doi-asserted-by":"publisher","first-page":"1226","DOI":"10.1056\/NEJMra0804622","volume":"360","author":"RM Scott","year":"2009","unstructured":"Scott RM, Smith ER (2009) Moyamoya disease and moyamoya syndrome. N Engl J Med 360:1226\u20131237","journal-title":"N Engl J Med"},{"key":"7346_CR18","first-page":"100331","volume":"18","author":"D Zhang","year":"2022","unstructured":"Zhang D, Huang L, Huang Z, Zhou Q, Yang X, Gu H et al (2022) Epidemiology of moyamoya disease in China: a nationwide hospital-based study. Lancet Reg Health West Pac 18:100331","journal-title":"Lancet Reg Health West Pac"},{"key":"7346_CR19","doi-asserted-by":"publisher","first-page":"67","DOI":"10.3988\/jcn.2008.4.2.67","volume":"4","author":"HJ Kwag","year":"2008","unstructured":"Kwag HJ, Jeong DW, Lee SH, Kim DH, Kim J (2008) Intracranial hemodynamic changes during adult moyamoya disease progression. J Clin Neurol 4:67\u201374","journal-title":"J Clin Neurol"},{"key":"7346_CR20","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1007\/s00381-014-2582-5","volume":"31","author":"G Baltsavias","year":"2015","unstructured":"Baltsavias G, Khan N, Valavanis A (2015) The collateral circulation in pediatric moyamoya disease. Childs Nerv Syst 31:389\u2013398","journal-title":"Childs Nerv Syst"},{"key":"7346_CR21","doi-asserted-by":"publisher","first-page":"2","DOI":"10.5853\/jos.2015.01627","volume":"18","author":"JS Kim","year":"2016","unstructured":"Kim JS (2016) Moyamoya disease: epidemiology, clinical features, and diagnosis. J Stroke 18:2\u201311","journal-title":"J Stroke"},{"key":"7346_CR22","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.3174\/ajnr.A5622","volume":"39","author":"T Robert","year":"2018","unstructured":"Robert T, Ciccio G, Sylvestre P, Chiappini A, Weil AG, Smajda S et al (2018) Anatomic and angiographic analyses of ophthalmic artery collaterals in moyamoya disease. AJNR Am J Neuroradiol 39:1121\u20131126","journal-title":"AJNR Am J Neuroradiol"},{"key":"7346_CR23","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.3171\/2017.11.JNS171990","volume":"130","author":"M Fujimura","year":"2019","unstructured":"Fujimura M, Funaki T, Houkin K, Takahashi JC, Kuroda S, Tomata Y et al (2019) Intrinsic development of choroidal and thalamic collaterals in hemorrhagic-onset moyamoya disease: case-control study of the Japan Adult Moyamoya Trial. J Neurosurg 130:1453\u20131459","journal-title":"J Neurosurg"},{"key":"7346_CR24","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1007\/s00701-020-04354-1","volume":"162","author":"J Ryu","year":"2020","unstructured":"Ryu J, Hamano E, Nishimura M, Satow T, Takahashi JC (2020) Difference in periventricular anastomosis in child and adult moyamoya disease: a vascular morphology study. Acta Neurochir (Wien) 162:1333\u20131339","journal-title":"Acta Neurochir (Wien)"},{"key":"7346_CR25","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.3171\/2020.3.JNS193273","volume":"134","author":"T Hayashi","year":"2020","unstructured":"Hayashi T, Yamamoto S, Hamashima T, Mori H, Sasahara M, Kuroda S (2020) Critical role of platelet-derived growth factor-alpha in angiogenesis after indirect bypass in a murine moyamoya disease model. J Neurosurg 134:1535\u20131543","journal-title":"J Neurosurg"},{"key":"7346_CR26","doi-asserted-by":"publisher","first-page":"3465","DOI":"10.1161\/STROKEAHA.122.039961","volume":"53","author":"S Yamamoto","year":"2022","unstructured":"Yamamoto S, Yamamoto S, Akai T, Sasahara M, Kuroda S (2022) Differentiation of fibroblasts into myofibroblasts in the arachnoid membrane of moyamoya disease. Stroke 53:3465\u20133473","journal-title":"Stroke"},{"key":"7346_CR27","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1177\/0271678X18818298","volume":"40","author":"A Marushima","year":"2020","unstructured":"Marushima A, Nieminen M, Kremenetskaia I, Gianni-Barrera R, Woitzik J, von Degenfeld G et al (2020) Balanced single-vector co-delivery of VEGF\/PDGF-BB improves functional collateralization in chronic cerebral ischemia. J Cereb Blood Flow Metab 40:404\u2013419","journal-title":"J Cereb Blood Flow Metab"}],"container-title":["Neurological Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10072-024-07346-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10072-024-07346-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10072-024-07346-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,14]],"date-time":"2024-06-14T01:02:12Z","timestamp":1718326932000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10072-024-07346-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,29]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["7346"],"URL":"https:\/\/doi.org\/10.1007\/s10072-024-07346-6","relation":{},"ISSN":["1590-1874","1590-3478"],"issn-type":[{"type":"print","value":"1590-1874"},{"type":"electronic","value":"1590-3478"}],"subject":[],"published":{"date-parts":[[2024,1,29]]},"assertion":[{"value":"25 July 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Human Research Ethics Committee of the Second Affiliated Hospital of Zhejiang University (ID: 2020\u2013064). The study had been carried out in accordance with the Declaration of Helsinki. Each included participant provided informed consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}