{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:34:01Z","timestamp":1769726041075,"version":"3.49.0"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"7","license":[{"start":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T00:00:00Z","timestamp":1755475200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,8,18]]},"abstract":"\n BACKGROUND<\/jats:title>\n Cerebral hyperperfusion (CHP) is a serious complication after bypass surgery in moyamoya disease (MMD). Currently, the prediction or diagnosis of CHP relies on various blood flow monitoring devices, and there is a lack of direct signs to predict the occurrence of CHP.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The authors report on the case of a patient with MMD in whom the cortical veins were immediately reddened during superficial temporal artery (STA)\u2013middle cerebral artery (MCA) bypass. On declamping the proximal STA during the operation, the blue vein near the anastomosis was rapidly arterialized under the microscope. Indocyanine green videography showed filling of the vein in the arterial phase, with a notable rise in venous blood flow, monitored by intraoperative laser speckle contrast imaging, and postoperative SPECT imaging demonstrated hyperperfusion in the territory of the MCA.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n The intraoperative venous reddening phenomenon indicated that the dramatic changes in venous blood flow may reflect CHP status after STA-MCA bypass surgery.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE24600<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case24600","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:48:24Z","timestamp":1756770504000},"source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative immediately venous reddening indicates cerebral hyperperfusion after superficial temporal artery\u2013middle cerebral artery anastomosis in moyamoya disease: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Tianshu","family":"Tao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"},{"name":"Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guiping","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4608-9736","authenticated-orcid":true,"given":"Jincao","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"},{"name":"Brain Research Center, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjian","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"7","key":"bib1","series-title":"Neurol Med Chir (Tokyo)","first-page":"307","article-title":"Diagnostic criteria for moyamoya disease\u20142021 revised version","volume":"62","author":"Kuroda","year":"2022","unstructured":"Kuroda SFujimura MTakahashi JDiagnostic criteria for moyamoya disease\u20142021 revised version. Neurol Med Chir (Tokyo). 2022;62(7):307-312."},{"issue":"2","key":"bib2","series-title":"J Neurosurg","first-page":"417","article-title":"Prolonged\/delayed cerebral hyperperfusion in adult patients with moyamoya disease with RNF213 gene polymorphism c.14576G>A (rs112735431) after superficial temporal artery-middle cerebral artery anastomosis","volume":"135","author":"Tashiro","year":"2021;","unstructured":"Tashiro RFujimura MKatsuki MProlonged\/delayed cerebral hyperperfusion in adult patients with moyamoya disease with RNF213 gene polymorphism c.14576G>A (rs112735431) after superficial temporal artery-middle cerebral artery anastomosis. J Neurosurg. 2021;135(2):417-424."},{"issue":"10","key":"bib3","series-title":"Stroke","first-page":"2610","article-title":"Predictors and clinical features of postoperative hyperperfusion after surgical revascularization for moyamoya disease: a serial single photon emission CT\/positron emission tomography study","volume":"43","author":"Uchino","year":"2012","unstructured":"Uchino HKuroda SHirata KShiga THoukin KTamaki N.Predictors and clinical features of postoperative hyperperfusion after surgical revascularization for moyamoya disease: a serial single photon emission CT\/positron emission tomography study. Stroke. 2012;43(10):2610-2616."},{"issue":"12","key":"bib4","series-title":"Stroke","first-page":"2837","article-title":"A novel staging system to evaluate cerebral hypoperfusion in patients with moyamoya disease","volume":"49","author":"Yin","year":"2018","unstructured":"Yin HLiu XZhang DA novel staging system to evaluate cerebral hypoperfusion in patients with moyamoya disease. Stroke. 2018;49(12):2837-2843."},{"issue":"1","key":"bib5","series-title":"J Neurosurg","first-page":"90","article-title":"Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease?","volume":"122","author":"Mukerji","year":"2015","unstructured":"Mukerji NCook DJSteinberg GK.Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease? J Neurosurg. 2015;122(1):90-94."},{"issue":"3","key":"bib6","series-title":"Neurosurg Rev","first-page":"411","article-title":"Hemodynamics and changes after STA\u2013MCA anastomosis in moyamoya disease and atherosclerotic cerebrovascular disease measured by micro-Doppler ultrasonography","volume":"36","author":"Morisawa","year":"2013","unstructured":"Morisawa HKawamata TKawashima AHemodynamics and changes after STA\u2013MCA anastomosis in moyamoya disease and atherosclerotic cerebrovascular disease measured by micro-Doppler ultrasonography. Neurosurg Rev. 2013;36(3):411-419."},{"issue":"6","key":"bib7","series-title":"J Neurosurg","first-page":"1666","article-title":"Blood volume flow in the superficial temporal artery assessed by duplex sonography: predicting extracranial-intracranial bypass patency in moyamoya disease","volume":"135","author":"Connolly","year":"2021","unstructured":"Connolly FAlsolivany JCzabanka MBlood volume flow in the superficial temporal artery assessed by duplex sonography: predicting extracranial-intracranial bypass patency in moyamoya disease. J Neurosurg. 2021;135(6):1666-1673."},{"issue":"9","key":"bib8","series-title":"Acta Neurochir (Wien)","first-page":"1753","article-title":"Intraoperative assessment of cortical perfusion by indocyanine green videoangiography in surgical revascularization for moyamoya disease","volume":"156","author":"Uchino","year":"2014","unstructured":"Uchino HKazumata KIto MNakayama NKuroda SHoukin K.Intraoperative assessment of cortical perfusion by indocyanine green videoangiography in surgical revascularization for moyamoya disease. Acta Neurochir (Wien). 2014;156(9):1753-1760."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"1023","article-title":"Comparison of indocyanine green angiography and laser speckle contrast imaging for the assessment of vasculature perfusion","volume":"71","author":"Towle","year":"2012","unstructured":"Towle ELRichards LMKazmi SMSFox DJDunn AK.Comparison of indocyanine green angiography and laser speckle contrast imaging for the assessment of vasculature perfusion. Neurosurgery. 2012;71(5):1023-1030."},{"issue":"4","key":"bib10","series-title":"J Neurosurg","first-page":"1367","article-title":"Intraoperative evaluation of local cerebral hemodynamic change by indocyanine green videoangiography: prediction of incidence and duration of postoperative transient neurological events in patients with moyamoya disease","volume":"130","author":"Uda","year":"2019","unstructured":"Uda KAraki YMuraoka SIntraoperative evaluation of local cerebral hemodynamic change by indocyanine green videoangiography: prediction of incidence and duration of postoperative transient neurological events in patients with moyamoya disease. J Neurosurg. 2019;130(4):1367-1375."},{"issue":"1","key":"bib11","series-title":"Insights Imaging","first-page":"184","article-title":"Evaluation of surgical revascularization procedure outcomes for adult moyamoya disease: a computed tomography perfusion-based study","volume":"14","author":"Yuan","year":"2023","unstructured":"Yuan XYu HSun ZEvaluation of surgical revascularization procedure outcomes for adult moyamoya disease: a computed tomography perfusion-based study. Insights Imaging. 2023;14(1):184."},{"key":"bib12","series-title":"J Neurol Surg","first-page":"1347","article-title":"A flow self-regulating superficial temporal artery\u2013middle cerebral artery bypass based on side-to-side anastomosis for adult patients with moyamoya disease","author":"Zhang","year":"2023;138(5)","unstructured":"Zhang JYu JXin CA flow self-regulating superficial temporal artery\u2013middle cerebral artery bypass based on side-to-side anastomosis for adult patients with moyamoya disease. J Neurol Surg. 2023;138(5):1347-1356."},{"issue":"7","key":"bib13","series-title":"J Cereb Blood Flow Metab","first-page":"1163","article-title":"Intraoperative evaluation of local cerebral hemodynamic change by laser speckle contrast imaging for predicting postoperative cerebral hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease","volume":"44","author":"Tao","year":"2024","unstructured":"Tao TZhu WYu JIntraoperative evaluation of local cerebral hemodynamic change by laser speckle contrast imaging for predicting postoperative cerebral hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease. J Cereb Blood Flow Metab. 2024;44(7):1163-1173."},{"issue":"1","key":"bib14","series-title":"J Neurosurg","first-page":"17","article-title":"Hemodynamic analysis of the recipient parasylvian cortical arteries for predicting postoperative hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease","volume":"134","author":"Zhang","year":"2021","unstructured":"Zhang JLi SFujimura MHemodynamic analysis of the recipient parasylvian cortical arteries for predicting postoperative hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease. J Neurosurg. 2021;134(1):17-24."},{"issue":"7","key":"bib1","series-title":"Neurol Med Chir (Tokyo)","first-page":"307","article-title":"Diagnostic criteria for moyamoya disease\u20142021 revised version","volume":"62","author":"Kuroda","year":"2022","unstructured":"Kuroda SFujimura MTakahashi JDiagnostic criteria for moyamoya disease\u20142021 revised version. Neurol Med Chir (Tokyo). 2022;62(7):307-312."},{"issue":"2","key":"bib2","series-title":"J Neurosurg","first-page":"417","article-title":"Prolonged\/delayed cerebral hyperperfusion in adult patients with moyamoya disease with RNF213 gene polymorphism c.14576G>A (rs112735431) after superficial temporal artery-middle cerebral artery anastomosis","volume":"135","author":"Tashiro","year":"2021;","unstructured":"Tashiro RFujimura MKatsuki MProlonged\/delayed cerebral hyperperfusion in adult patients with moyamoya disease with RNF213 gene polymorphism c.14576G>A (rs112735431) after superficial temporal artery-middle cerebral artery anastomosis. J Neurosurg. 2021;135(2):417-424."},{"issue":"10","key":"bib3","series-title":"Stroke","first-page":"2610","article-title":"Predictors and clinical features of postoperative hyperperfusion after surgical revascularization for moyamoya disease: a serial single photon emission CT\/positron emission tomography study","volume":"43","author":"Uchino","year":"2012","unstructured":"Uchino HKuroda SHirata KShiga THoukin KTamaki N.Predictors and clinical features of postoperative hyperperfusion after surgical revascularization for moyamoya disease: a serial single photon emission CT\/positron emission tomography study. Stroke. 2012;43(10):2610-2616."},{"issue":"12","key":"bib4","series-title":"Stroke","first-page":"2837","article-title":"A novel staging system to evaluate cerebral hypoperfusion in patients with moyamoya disease","volume":"49","author":"Yin","year":"2018","unstructured":"Yin HLiu XZhang DA novel staging system to evaluate cerebral hypoperfusion in patients with moyamoya disease. Stroke. 2018;49(12):2837-2843."},{"issue":"1","key":"bib5","series-title":"J Neurosurg","first-page":"90","article-title":"Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease?","volume":"122","author":"Mukerji","year":"2015","unstructured":"Mukerji NCook DJSteinberg GK.Is local hypoperfusion the reason for transient neurological deficits after STA-MCA bypass for moyamoya disease? J Neurosurg. 2015;122(1):90-94."},{"issue":"3","key":"bib6","series-title":"Neurosurg Rev","first-page":"411","article-title":"Hemodynamics and changes after STA\u2013MCA anastomosis in moyamoya disease and atherosclerotic cerebrovascular disease measured by micro-Doppler ultrasonography","volume":"36","author":"Morisawa","year":"2013","unstructured":"Morisawa HKawamata TKawashima AHemodynamics and changes after STA\u2013MCA anastomosis in moyamoya disease and atherosclerotic cerebrovascular disease measured by micro-Doppler ultrasonography. Neurosurg Rev. 2013;36(3):411-419."},{"issue":"6","key":"bib7","series-title":"J Neurosurg","first-page":"1666","article-title":"Blood volume flow in the superficial temporal artery assessed by duplex sonography: predicting extracranial-intracranial bypass patency in moyamoya disease","volume":"135","author":"Connolly","year":"2021","unstructured":"Connolly FAlsolivany JCzabanka MBlood volume flow in the superficial temporal artery assessed by duplex sonography: predicting extracranial-intracranial bypass patency in moyamoya disease. J Neurosurg. 2021;135(6):1666-1673."},{"issue":"9","key":"bib8","series-title":"Acta Neurochir (Wien)","first-page":"1753","article-title":"Intraoperative assessment of cortical perfusion by indocyanine green videoangiography in surgical revascularization for moyamoya disease","volume":"156","author":"Uchino","year":"2014","unstructured":"Uchino HKazumata KIto MNakayama NKuroda SHoukin K.Intraoperative assessment of cortical perfusion by indocyanine green videoangiography in surgical revascularization for moyamoya disease. Acta Neurochir (Wien). 2014;156(9):1753-1760."},{"issue":"5","key":"bib9","series-title":"Neurosurgery","first-page":"1023","article-title":"Comparison of indocyanine green angiography and laser speckle contrast imaging for the assessment of vasculature perfusion","volume":"71","author":"Towle","year":"2012","unstructured":"Towle ELRichards LMKazmi SMSFox DJDunn AK.Comparison of indocyanine green angiography and laser speckle contrast imaging for the assessment of vasculature perfusion. Neurosurgery. 2012;71(5):1023-1030."},{"issue":"4","key":"bib10","series-title":"J Neurosurg","first-page":"1367","article-title":"Intraoperative evaluation of local cerebral hemodynamic change by indocyanine green videoangiography: prediction of incidence and duration of postoperative transient neurological events in patients with moyamoya disease","volume":"130","author":"Uda","year":"2019","unstructured":"Uda KAraki YMuraoka SIntraoperative evaluation of local cerebral hemodynamic change by indocyanine green videoangiography: prediction of incidence and duration of postoperative transient neurological events in patients with moyamoya disease. J Neurosurg. 2019;130(4):1367-1375."},{"issue":"1","key":"bib11","series-title":"Insights Imaging","first-page":"184","article-title":"Evaluation of surgical revascularization procedure outcomes for adult moyamoya disease: a computed tomography perfusion-based study","volume":"14","author":"Yuan","year":"2023","unstructured":"Yuan XYu HSun ZEvaluation of surgical revascularization procedure outcomes for adult moyamoya disease: a computed tomography perfusion-based study. Insights Imaging. 2023;14(1):184."},{"key":"bib12","series-title":"J Neurol Surg","first-page":"1347","article-title":"A flow self-regulating superficial temporal artery\u2013middle cerebral artery bypass based on side-to-side anastomosis for adult patients with moyamoya disease","author":"Zhang","year":"2023;138(5)","unstructured":"Zhang JYu JXin CA flow self-regulating superficial temporal artery\u2013middle cerebral artery bypass based on side-to-side anastomosis for adult patients with moyamoya disease. J Neurol Surg. 2023;138(5):1347-1356."},{"issue":"7","key":"bib13","series-title":"J Cereb Blood Flow Metab","first-page":"1163","article-title":"Intraoperative evaluation of local cerebral hemodynamic change by laser speckle contrast imaging for predicting postoperative cerebral hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease","volume":"44","author":"Tao","year":"2024","unstructured":"Tao TZhu WYu JIntraoperative evaluation of local cerebral hemodynamic change by laser speckle contrast imaging for predicting postoperative cerebral hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease. J Cereb Blood Flow Metab. 2024;44(7):1163-1173."},{"issue":"1","key":"bib14","series-title":"J Neurosurg","first-page":"17","article-title":"Hemodynamic analysis of the recipient parasylvian cortical arteries for predicting postoperative hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease","volume":"134","author":"Zhang","year":"2021","unstructured":"Zhang JLi SFujimura MHemodynamic analysis of the recipient parasylvian cortical arteries for predicting postoperative hyperperfusion during STA-MCA bypass in adult patients with moyamoya disease. J Neurosurg. 2021;134(1):17-24."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE24600.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE24600.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE24600.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:10:22Z","timestamp":1769685022000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/7\/article-CASE24600.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,18]]},"references-count":28,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.3171\/case24600","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,18]]}}}