Laparoscopic cholecystectomy in an adult moyamoya disease case

Moyamoya disease (MMD) is a progressive disorder caused by blocked arteries or spontaneous occlusion of the blood vessels of the circle of Willis with compensatory collateral vasculature; it is an increasingly recognized cause of stroke [1,2]. Anesthetic management of patients with MMD is challenging because appropriate control of hemodynamic state and ventilation is required to prevent neurologic adverse events. We previously reported the perioperative management of video-assisted thoracoscopic surgery in an adult patient with MMD [3].

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