A Case of Emergency Extracranial-Intracranial Arterial Bypass Surgery for Acute Symptomatic ICA Occlusion

J Korean Neurol Assoc > Volume 24(3); 2006 > Article

Journal of the Korean Neurological Association 2006;24(3): 290-293.

급성 증후성 내경동맥 폐색 환자에서 응급으로 시행한 두개외-두개내 동맥측로술 1예

정진만, 안재성a 조아현 나현욱 이대균 조경희 김미정 전상범 고재영 강동화 권순억

울산대학교 의과대학 신경과학교실, 신경외과학교실a

A Case of Emergency Extracranial-Intracranial Arterial Bypass Surgery for Acute Symptomatic ICA Occlusion

Jin Man Jung

Departments of Neurology and Neurosurgerya, University of Ulsan Collage of Medicine, Seoul, Korea

Abstract

The benefits of extracranial-Intracranial bypass surgery have not yet been proven, but recent studies have showed the beneficial effects in selected patients. We report a 52-year-old man who underwent an emergency EC-IC bypass surgery to prevent further progression of neurological deficits after acute ICA occlusion. After overcoming the concerns of the high surgical risk involved in acute ischemic stroke, this case shows that emergency bypass surgery may be helpful in highly select patients by improving hemodynamic compromise.KeyWords:Stroke, Cerebral revascularization