Brain Disorders & Therapy

Pediatric Moyamoya disease and neurosurgical management

7^th International Conference on Neurological Disorders & Stroke

September 20-21, 2018 | Rome, Italy

Abilash Haridas

St Joseph Childrens Hospital, USA

Keynote: Brain Disord Ther

Abstract:

Pediatric Moyamoya is a progressive neurological disorder in which the intracranial carotid arteries become slowly occluded leading to strokes. This can be especially debilitating in children leading to significant motor and cognitive delays in the young brain. There are some distinctive etiologies such as Down???s syndrome and Sickle cell disease which may lead to Moyamoya, especially in the younger population. Apart from medical management, the progressive natural history of this disease requires a multidisciplinary approach early to reduce future stroke morbidity. Early identification of symptoms of stroke in the very young can be difficult, and it is imperative to correctly identify Moyamoya as early as possible. Apart from the initial medical management, there are various surgical options which are all tailored to augment blood flow to the area of hypoperfusion in the brain. The surgical literature yields several options, all based on the severity of disease and is customized to each child. The revascularization options to the brain may be broadly divided into direct and indirect options, based on the age of the child and anatomical cerebral blood flow assessment based on MRI, CT angiography, and/or cerebral angiogram. The surgical technique varies based on surgical experience and long-term studies show good success with revascularization surgery.

Biography :

Abilash Haridas completed his medical school and pursued his Postgraduate training in General Surgery at the Brooklyn Hospital Center in New York (USA). He switched career paths to Neurosurgery and spent a year at Harvard University. In 2006, he joined the prestigious Mount Sinai Hospital Neurosurgery Residency program in New York City, under the direction of Dr. Kalmon Post and Dr. Joshua Bederson. Following residency, he travelled to Chicago in 2011 for a Pediatric Neurosurgery Fellowship at Lurie Childrens Hospital of Northwestern University under the direction of Dr. Tadanori Tomita. In 2012 he completed an additional Cerebrovascular Fellowship at the University of Illinois in Chicago with Dr. Fady Charbel, specializing in complex cerebral bypass and aneurysm surgeries. He is currently the Chief of Pediatric Neurosurgery at St Joseph Children’s Hospital in Tampa, Florida (USA). He is a Pediatric Neurosurgeon specializing in cerebrovascular, skull base, endoscopic, and epilepsy surgery. In 2013, he joined the faculty at Wayne State University and Childrens Hospital of Michigan, bringing his rare expertise in pediatric cerebrovascular diseases. He is double fellowship trained in Pediatric and Cerebrovascular Neurosurgery. His interests are in all aspects of neurosurgery including Moyamoya, AVMs, aneurysms and skull base disorders. He has published in several leading journals and has lectured worldwide on a variety of topics in neurosurgery. His main clinical interest lies in translational neurosurgery and surgical technique improvement.

E-mail: abilash.haridas@baycare.org