Urgent extracranial-intracranial bypass in the treatment of acute hemodynamic ischemic stroke: case report
Language English Country Germany Media print-electronic
Document type Case Reports, Journal Article
- MeSH
- Middle Cerebral Artery surgery MeSH
- Temporal Arteries surgery MeSH
- Stroke therapy MeSH
- Electroencephalography MeSH
- Brain Ischemia therapy MeSH
- Endarterectomy, Carotid MeSH
- Humans MeSH
- Cerebral Angiography MeSH
- Cerebrovascular Circulation physiology MeSH
- Neurosurgical Procedures methods MeSH
- Tomography, X-Ray Computed MeSH
- Cerebral Revascularization MeSH
- Aged MeSH
- Evoked Potentials, Somatosensory MeSH
- Carotid Stenosis surgery MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
Extracranial-intracranial (EC-IC) bypass surgery is performed to allow flow augmentation in selected cases of occlusive cerebrovascular disease. The majority of EC-IC bypasses are described as an elective procedure in the prevention of hemodynamic ischemic stroke. There is only limited and controversial experience of superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis performed under urgent circumstances as a treatment of acute cerebral ischemia. We describe a unique case of a 75-year-old patient presenting with acute progressive hemodynamic ischemia after carotid endarterectomy (CEA), which developed contralaterally to the performed CEA in the region of chronic internal carotid artery (ICA) occlusion. Urgent performance of a standard STA-MCA bypass rapidly improved the cerebral hemodynamic and had an excellent therapeutic effect. The patient had recovered completely within 4 weeks of surgery. The role of urgent EC-IC bypass for stroke treatment is discussed.
References provided by Crossref.org
Delayed microsurgical revascularization in an acute ischemic stroke based on perfusion study
