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Chen et al. Contralateral cerebral ischemia after MMD bypass

National Natural Science Foundation of China (H0906 Predictors and clinical features of postoperative hyperperfusion after
81271313 and H0906 81571110 to Y.L. Zhao and surgical revascularization for moyamoya disease: a serial single
81500995 to X.L. Chen); and China Scholarship photon emission CT/positron emission tomography study. Stroke
2012;43:2610-6.
Council (No. 201508110252 to L. Ma). 13. Mukerji N, Cook DJ, Steinberg GK. Is local hypoperfusion the
reason for transient neurological deficits after STA-MCA bypass for
Conflicts of interest moyamoya disease? J Neurosurg 2015;122:90-4.
There are no conflicts of interest. 14. Fujimura M, Inoue T, Shimizu H, Saito A, Mugikura S, Tominaga
T. Efficacy of prophylactic blood pressure lowering according
Patient consent to a standardized postoperative management protocol to prevent
Patient consent was obtained from the patient. symptomatic cerebral hyperperfusion after direct revascularization
surgery for moyamoya disease. Cerebrovasc Dis 2012;33:436-45.
Ethics approval 15. Fujimura M, Tominaga T. Significance of cerebral blood flow analysis
The treatment and data collection in our study involving in the acute stage after revascularization surgery for moyamoya
disease. Neurol Med Chir 2015;55:775-81.
the patient is consistent with the ethical standards of 16. Horie N, Morikawa M, Morofuji Y, Hiu T, Izumo T, Hayashi K,
the Institutional Review Board. Nagata I. De novo ivy sign indicates postoperative hyperperfusion in
moyamoya disease. Stroke 2014;45:1488-91.
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52 Neuroimmunology and Neuroinflammation ¦ Volume 4 ¦ March 24, 2017