Encephalo-Arterio-Synangiosis with Cranioplasty after Treatment of Acute Subdural Hematoma Associated with Subcortical Hemorrhage Due to Unilateral Moyamoya Disease

Figure 2

Images of the initial procedure. (a) Photograph showing a huge subdural hematoma after opening the dura mater. (b) Photograph after evacuation of the hematoma showing a swollen brain surface. (c) Intraoperative microscopic photograph showing the left internal carotid artery (arrow) and M1 segment of the hypoplastic left middle cerebral artery (MCA) (arrowheads). (d) Intraoperative microscopic showing a narrow M2 segment of the hypoplastic left MCA (arrowheads). (e) Computed tomography immediately after surgery, confirming adequate decompression and removal of the hematoma.

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