Direct bypass techniques for the treatment of pediatric moyamoya disease.

Moyamoya is an increasingly recognized cause of stroke in children and adults. Identification of the disease early in its course with prompt institution of therapy is critical to providing the best outcome for patients. Revascularization surgery seems to be effective in preventing stroke in moyamoya, with direct techniques providing durable protection when performed at experienced centers. Copyright 2010 Elsevier Inc. All rights reserved.